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00:21:39.410 --> 00:21:39.812

406
00:21:39.734 --> 00:21:40.457

407
00:21:40.440 --> 00:21:41.422

408
00:21:41.336 --> 00:21:41.676

409
00:21:41.653 --> 00:21:43.775

410
00:21:43.771 --> 00:21:45.454

411
00:21:45.372 --> 00:21:46.097

412
00:21:46.010 --> 00:21:47.310

413
00:21:48.254 --> 00:21:50.790

414
00:21:50.691 --> 00:21:52.005

415
00:21:51.971 --> 00:21:52.443

416
00:21:52.362 --> 00:21:52.709

417
00:21:52.684 --> 00:21:53.640

418
00:21:53.571 --> 00:21:57.047

419
00:21:57.033 --> 00:21:58.129

420
00:21:58.053 --> 00:21:59.022

421
00:21:58.953 --> 00:22:01.471

422
00:22:01.391 --> 00:22:03.087

423
00:22:02.991 --> 00:22:04.973

424
00:22:08.373 --> 00:22:09.664

425
00:22:09.591 --> 00:22:10.316

426
00:22:10.292 --> 00:22:14.742

427
00:22:14.712 --> 00:22:15.789

428
00:22:15.672 --> 00:22:16.252

429
00:22:16.182 --> 00:22:16.844

430
00:22:16.891 --> 00:22:18.531

431
00:22:18.433 --> 00:22:18.973

432
00:22:19.012 --> 00:22:20.686

433
00:22:20.612 --> 00:22:22.074

434
00:22:23.491 --> 00:22:26.593

435
00:22:27.211 --> 00:22:27.622

436
00:22:27.591 --> 00:22:27.814

437
00:22:27.911 --> 00:22:28.872

438
00:22:28.872 --> 00:22:32.063

439
00:22:32.261 --> 00:22:32.686

440
00:22:32.583 --> 00:22:33.837

441
00:22:33.812 --> 00:22:34.261

442
00:22:34.193 --> 00:22:34.476

443
00:22:34.513 --> 00:22:36.632

444
00:22:36.622 --> 00:22:38.314

445
00:22:38.223 --> 00:22:38.948

446
00:22:38.862 --> 00:22:40.133

447
00:22:44.123 --> 00:22:44.897

448
00:22:44.823 --> 00:22:45.228

449
00:22:45.211 --> 00:22:45.552

450
00:22:45.534 --> 00:22:46.557

451
00:22:46.492 --> 00:22:49.568

452
00:22:49.893 --> 00:22:52.073

453
00:22:52.133 --> 00:22:54.007

454
00:22:54.053 --> 00:22:54.248

455
00:22:54.243 --> 00:22:55.458

456
00:22:55.842 --> 00:22:57.650

457
00:22:58.732 --> 00:22:59.633

458
00:23:04.042 --> 00:23:07.583

459
00:23:07.510 --> 00:23:08.547

460
00:23:08.463 --> 00:23:09.501

461
00:23:09.426 --> 00:23:09.678

462
00:23:09.682 --> 00:23:11.722

463
00:23:11.662 --> 00:23:11.896

464
00:23:11.857 --> 00:23:13.538

465
00:23:13.454 --> 00:23:14.179

466
00:23:14.103 --> 00:23:15.325

467
00:23:16.344 --> 00:23:17.368

468
00:23:20.054 --> 00:23:21.660

469
00:23:25.125 --> 00:23:26.160

470
00:23:26.082 --> 00:23:27.105

471
00:23:27.044 --> 00:23:27.382

472
00:23:27.363 --> 00:23:29.282

473
00:23:29.283 --> 00:23:29.530

474
00:23:29.475 --> 00:23:30.713

475
00:23:31.082 --> 00:23:31.801

476
00:23:31.725 --> 00:23:33.007

477
00:23:33.962 --> 00:23:36.589

478
00:23:37.675 --> 00:23:39.413

479
00:23:39.344 --> 00:23:42.816

480
00:23:42.733 --> 00:23:43.078

481
00:23:43.053 --> 00:23:43.788

482
00:23:43.762 --> 00:23:44.346

483
00:23:44.277 --> 00:23:44.972

484
00:23:44.976 --> 00:23:46.602

485
00:23:46.512 --> 00:23:47.123

486
00:23:47.093 --> 00:23:48.776

487
00:23:48.694 --> 00:23:49.417

488
00:23:49.333 --> 00:23:51.646

489
00:23:51.576 --> 00:23:54.170

490
00:23:54.077 --> 00:23:59.905

491
00:24:00.094 --> 00:24:00.382

492
00:24:00.413 --> 00:24:00.639

493
00:24:00.673 --> 00:24:01.947

494
00:24:02.274 --> 00:24:02.616

495
00:24:02.594 --> 00:24:04.793

496
00:24:04.713 --> 00:24:06.402

497
00:24:06.313 --> 00:24:07.089

498
00:24:07.013 --> 00:24:08.228

499
00:24:09.193 --> 00:24:10.271

500
00:24:11.694 --> 00:24:13.368

501
00:24:13.295 --> 00:24:18.022

502
00:24:17.973 --> 00:24:18.314

503
00:24:18.295 --> 00:24:20.016

504
00:24:19.964 --> 00:24:20.199

505
00:24:20.214 --> 00:24:22.210

506
00:24:22.132 --> 00:24:22.393

507
00:24:22.332 --> 00:24:23.440

508
00:24:23.413 --> 00:24:24.011

509
00:24:23.932 --> 00:24:24.717

510
00:24:24.632 --> 00:24:26.834

511
00:24:26.814 --> 00:24:29.611

512
00:24:30.533 --> 00:24:30.980

513
00:24:30.976 --> 00:24:31.190

514
00:24:31.233 --> 00:24:35.667

515
00:24:35.582 --> 00:24:36.030

516
00:24:35.914 --> 00:24:36.654

517
00:24:36.614 --> 00:24:37.603

518
00:24:37.514 --> 00:24:40.021

519
00:24:39.945 --> 00:24:42.304

520
00:24:42.182 --> 00:24:43.471

521
00:24:47.445 --> 00:24:48.219

522
00:24:48.146 --> 00:24:48.809

523
00:24:48.852 --> 00:24:53.080

524
00:24:53.214 --> 00:24:54.831

525
00:24:54.764 --> 00:24:55.260

526
00:24:55.135 --> 00:24:55.486

527
00:24:55.384 --> 00:24:56.196

528
00:24:56.534 --> 00:24:56.880

529
00:24:56.853 --> 00:24:57.137

530
00:24:57.173 --> 00:24:57.588

531
00:24:57.623 --> 00:24:57.823

532
00:24:57.884 --> 00:24:58.131

533
00:24:58.265 --> 00:24:58.512

534
00:24:58.523 --> 00:24:58.798

535
00:25:01.095 --> 00:25:01.350

536
00:25:06.800 --> 00:25:07.965

537
00:25:08.064 --> 00:25:14.129
the participants to be seated

538
00:25:14.024 --> 00:25:16.144
so with that shortly

539
00:25:18.134 --> 00:25:18.664

540
00:25:18.703 --> 00:25:19.195

541
00:25:19.153 --> 00:25:24.388
good afternoon everyone good afternoon sessions so please take your seats

542
00:25:24.335 --> 00:25:30.553
if the staff can tell the people outside to please come in and take our take your seats we can start doing the

543
00:25:30.742 --> 00:25:31.385

544
00:25:31.384 --> 00:25:34.188
the start of the principality I mean yeah

545
00:25:34.017 --> 00:25:37.969
this afternoon

546
00:25:40.736 --> 00:25:43.815
2 keynote speeches

547
00:25:43.884 --> 00:25:44.112

548
00:25:44.135 --> 00:25:47.225
uh from where

549
00:25:47.143 --> 00:25:47.409

550
00:25:47.273 --> 00:25:47.496

551
00:25:47.404 --> 00:25:47.624

552
00:25:47.535 --> 00:25:48.060

553
00:25:48.103 --> 00:25:51.483
so we'll start with Dr basa from Malaysia

554
00:25:51.573 --> 00:25:52.046

555
00:25:52.085 --> 00:25:52.280

556
00:25:52.215 --> 00:25:53.511

557
00:25:53.553 --> 00:25:54.822
so Dr basher

558
00:25:54.574 --> 00:25:54.926

559
00:25:54.965 --> 00:26:00.344
from Malaysia and she's going to talk about uh how to teach uh parents

560
00:26:00.214 --> 00:26:00.434

561
00:26:00.342 --> 00:26:02.793
take care of cock implanted kids

562
00:26:02.972 --> 00:26:06.067
ABT how do we get the parents to

563
00:26:06.054 --> 00:26:08.704
motivate the parents to get the kids

564
00:26:08.804 --> 00:26:14.521
doing what I have to do correct good this ant teachers yeah but mainly parents

565
00:26:14.444 --> 00:26:18.247
parents have to have involvement because if parents don't do the work teachers

566
00:26:18.605 --> 00:26:24.486
you know can't do much from Philippines no no

567
00:26:24.563 --> 00:26:26.614
keynote is doctors are changing

568
00:26:26.294 --> 00:26:29.229
Ah that's draining

569
00:26:29.494 --> 00:26:32.364
uh is the president of workability Thailand

570
00:26:32.505 --> 00:26:36.451
so he'll be talking to us about uh fostering community

571
00:26:36.343 --> 00:26:42.791
integration and creating meaningful opportunities for youth with disabilities so he'll be our second Keynote

572
00:26:42.694 --> 00:26:48.038
day and in between we'll have guests from uh overseas giving

573
00:26:48.014 --> 00:26:49.647
paper presentation

574
00:26:49.614 --> 00:26:53.103
uh Dr Jennifer Lynn Reverend Father Peter

575
00:26:53.063 --> 00:26:57.164
will be joining us by Zoom

576
00:26:57.494 --> 00:27:03.311
uh Dr John Sherman uh Miss sen-yung Dr John shervin from uh

577
00:27:03.055 --> 00:27:04.166
from the Philippines

578
00:27:04.024 --> 00:27:04.234

579
00:27:04.284 --> 00:27:08.470
uh Mr Yogen Turned Down is from Vietnam

580
00:27:08.509 --> 00:27:10.449
and then consult

581
00:27:10.295 --> 00:27:16.366
uh Steve is the vice president of the cock implant community in Thailand so he'll be talking about the

582
00:27:16.135 --> 00:27:18.659
broccoli implants being done here in Thailand

583
00:27:18.694 --> 00:27:22.657
so that's our uh you know our program for this option is quite

584
00:27:22.536 --> 00:27:27.517
integrated it's very knowledgeable I think we'll get a mix and match of many things today

585
00:27:27.596 --> 00:27:30.902
so hopefully people start coming in so we can start

586
00:27:31.058 --> 00:27:36.338
Symposium after lunch you know they're getting sleepy probably

587
00:27:36.313 --> 00:27:42.167

588
00:27:42.076 --> 00:27:45.033

589
00:27:44.964 --> 00:27:45.733
juice

590
00:27:46.056 --> 00:27:47.958
though should we wait or should we start

591
00:27:47.777 --> 00:27:48.181

592
00:27:48.355 --> 00:27:49.490
me

593
00:27:49.445 --> 00:27:49.665

594
00:27:49.765 --> 00:27:53.874
okay all right we'll start our session

595
00:27:53.934 --> 00:27:54.254

596
00:27:54.315 --> 00:27:55.358

597
00:27:55.784 --> 00:27:56.024

598
00:27:55.977 --> 00:27:56.452

599
00:27:56.495 --> 00:27:57.713
um

600
00:27:58.026 --> 00:27:58.239

601
00:27:58.215 --> 00:28:03.913
our session this afternoon empowering children with hearing loss starts with equipping the

602
00:28:03.664 --> 00:28:04.633
professionals

603
00:28:04.435 --> 00:28:05.889
the support them

604
00:28:06.164 --> 00:28:11.618
what are the essential skills and knowledge that Educators and therapists need to help these

605
00:28:11.355 --> 00:28:12.151
children

606
00:28:12.054 --> 00:28:12.269

607
00:28:12.505 --> 00:28:13.408

608
00:28:13.596 --> 00:28:18.485
we are honored to have Dr basa otman with us today a true leader

609
00:28:18.465 --> 00:28:20.411
in professional development

610
00:28:20.515 --> 00:28:26.506
as a habilitation manager cocka Asia growth market and former program coordinator

611
00:28:26.284 --> 00:28:28.543
the professional certification

612
00:28:28.529 --> 00:28:32.631
in auditory verbal therapy Dr otman has shaped the skills

613
00:28:32.615 --> 00:28:34.475
of countless practitioners

614
00:28:34.615 --> 00:28:36.346
representation

615
00:28:36.404 --> 00:28:43.238
supporting students with hearing loss a guide for teachers on transitioning to school with auditory verbal

616
00:28:43.005 --> 00:28:44.067
therapy

617
00:28:44.099 --> 00:28:47.240
will provide invaluable insights for everyone

618
00:28:47.226 --> 00:28:48.455
working with children

619
00:28:48.896 --> 00:28:51.532
welcome Dr basa we're ready when you are

620
00:28:51.525 --> 00:28:51.864

621
00:28:51.975 --> 00:28:54.862

622
00:28:56.199 --> 00:29:00.781
thank you very much Madame chairperson for the introduction

623
00:29:00.684 --> 00:29:00.914

624
00:29:02.416 --> 00:29:05.959
a very good afternoon now I'll come everyone

625
00:29:06.000 --> 00:29:07.812
sadika

626
00:29:07.734 --> 00:29:12.849
uh I'm basa from Malaysia and I'm the habilitation manager

627
00:29:12.918 --> 00:29:15.812
for Cochlear Asia growth Market

628
00:29:16.504 --> 00:29:16.734

629
00:29:16.634 --> 00:29:17.086

630
00:29:16.954 --> 00:29:19.225
this is my disclaimer

631
00:29:19.135 --> 00:29:24.999
I am a Cochlear employee and my participation is this conference is fully

632
00:29:24.774 --> 00:29:27.928
sponsored by cochlear Limited

633
00:29:29.255 --> 00:29:30.043

634
00:29:30.405 --> 00:29:33.571
let's begin by

635
00:29:33.618 --> 00:29:38.966
asking ourselves why mainstream education entry

636
00:29:39.068 --> 00:29:41.317
is a crucial point

637
00:29:42.148 --> 00:29:42.424

638
00:29:42.396 --> 00:29:44.191
firstly

639
00:29:50.025 --> 00:29:55.887
that children with hearing loss and their families have the

640
00:29:55.668 --> 00:29:56.706
option

641
00:29:57.006 --> 00:29:59.195
whether going mainstream

642
00:29:59.247 --> 00:30:03.932
or going for special education school or class

643
00:30:03.925 --> 00:30:06.200
before this recent decade

644
00:30:06.487 --> 00:30:13.722
it's by default that all our children with hearing loss go to special education

645
00:30:14.176 --> 00:30:16.518
that's no longer the case now

646
00:30:17.187 --> 00:30:18.283
but

647
00:30:18.339 --> 00:30:23.493
just wearing a device that's wearing cocka implant

648
00:30:23.407 --> 00:30:27.340
automatically means that they will

649
00:30:27.437 --> 00:30:29.700
succeed in mainstream

650
00:30:31.288 --> 00:30:38.476
you know the answer mainstream is challenging despite using COA implant

651
00:30:38.276 --> 00:30:38.626

652
00:30:39.295 --> 00:30:44.139
and these students they need accommodation

653
00:30:44.038 --> 00:30:46.041
in teaching and learning

654
00:30:46.027 --> 00:30:50.916
they need extra assistance in teaching and learning

655
00:30:51.527 --> 00:30:52.326

656
00:30:52.358 --> 00:30:53.528

657
00:30:53.907 --> 00:30:58.483
of the biggest challenge is learning to read

658
00:30:58.257 --> 00:30:58.460

659
00:30:58.638 --> 00:30:58.978

660
00:30:58.956 --> 00:31:03.103
and the haze say that

661
00:31:04.666 --> 00:31:08.805
sorry for pre literacy skills to develop

662
00:31:08.889 --> 00:31:09.105

663
00:31:09.146 --> 00:31:11.294
children

664
00:31:11.266 --> 00:31:14.744
20,000 hours of listening

665
00:31:14.716 --> 00:31:16.372
as a foundation

666
00:31:16.895 --> 00:31:22.655
now if you have a child who only just started listening at 5

667
00:31:22.407 --> 00:31:24.321
seeks your

668
00:31:24.398 --> 00:31:24.617

669
00:31:24.646 --> 00:31:29.746
will they have 20,000 hours estia Foundation

670
00:31:29.836 --> 00:31:33.085
estia basis for literacy skills

671
00:31:33.746 --> 00:31:38.411
it's also reported that many of our children with hearing loss

672
00:31:38.489 --> 00:31:42.051
the underachieve in mathematical subjects

673
00:31:42.396 --> 00:31:48.907
they frequently fail to pass the grapes and therefore they are at risk

674
00:31:48.797 --> 00:31:54.655
of lower educational achievement and later on employment

675
00:31:54.697 --> 00:31:55.834
in life

676
00:31:57.709 --> 00:31:58.881

677
00:31:58.866 --> 00:32:02.875
so how can teachers help

678
00:32:02.896 --> 00:32:08.111
auditory verbal therapy students but before that

679
00:32:08.597 --> 00:32:14.830
I will not assume that everybody is familiar with auditory verbal

680
00:32:14.676 --> 00:32:17.792
therapy so let me give you

681
00:32:18.017 --> 00:32:22.654
a 1 minute crash course on what avt is

682
00:32:23.466 --> 00:32:24.326

683
00:32:24.427 --> 00:32:31.446
auditory verbal therapy facilitates optimal acquisition of spoken language

684
00:32:31.478 --> 00:32:33.806
through listening

685
00:32:33.908 --> 00:32:39.687
so it is a unique model way of acquiring

686
00:32:40.057 --> 00:32:41.849
oral language

687
00:32:46.398 --> 00:32:48.343
10 young children

688
00:32:48.517 --> 00:32:48.729

689
00:32:48.636 --> 00:32:51.603
who are deaf or hard of hearing

690
00:32:51.907 --> 00:32:52.240

691
00:32:52.229 --> 00:32:56.043
it certainly promotes early diagnosis

692
00:32:56.008 --> 00:32:56.258

693
00:32:56.137 --> 00:32:58.076
1 on 1

694
00:32:58.117 --> 00:33:04.239
personalized therapy and the latest audiologic management

695
00:33:04.205 --> 00:33:04.475

696
00:33:04.466 --> 00:33:06.726
and the latest technology

697
00:33:07.158 --> 00:33:07.756

698
00:33:07.797 --> 00:33:12.190
1 Hallmark of auditory verbal therapy is that

699
00:33:12.336 --> 00:33:15.574
parents or caregivers

700
00:33:18.037 --> 00:33:24.933
pay in the therapy process because they are the primary language facilitator

701
00:33:24.706 --> 00:33:27.431
is for the child at home

702
00:33:27.456 --> 00:33:27.679

703
00:33:27.648 --> 00:33:33.796
and this can happen through guidance coaching and demonstration

704
00:33:33.999 --> 00:33:37.227
of their auditory verbal therapists

705
00:33:37.399 --> 00:33:43.056
the goal of EVT is for our child to have the

706
00:33:42.957 --> 00:33:46.556
access to a full range of academic

707
00:33:46.618 --> 00:33:47.683
social

708
00:33:47.835 --> 00:33:52.610
and career choices and must be conducted

709
00:33:52.568 --> 00:33:56.382
in adherence to the principles of listening

710
00:33:56.418 --> 00:34:00.951
spoken language specialist in auditory verbal therapy

711
00:34:02.057 --> 00:34:04.293
so that is avt

712
00:34:04.556 --> 00:34:10.078
I'm sure you've heard about cock implant just giving you a very

713
00:34:10.067 --> 00:34:11.181
quick

714
00:34:11.219 --> 00:34:17.204
idea about how cocka implant works very differently

715
00:34:17.107 --> 00:34:19.215
compared to hearing aid

716
00:34:19.037 --> 00:34:19.265

717
00:34:19.228 --> 00:34:21.532
hearing

718
00:34:21.787 --> 00:34:24.367
will amplify the sound

719
00:34:24.349 --> 00:34:30.107
and we are lucky in the year 2025 the technology of hearing

720
00:34:29.798 --> 00:34:35.209
eats are so Advanced that it is not just simply meaning

721
00:34:35.309 --> 00:34:40.724
cranking up the volume or intensity of the sound there are a lot of

722
00:34:40.557 --> 00:34:46.688
programs that is data logging in hearing aids however 1 thing that hearing

723
00:34:46.519 --> 00:34:48.142
still

724
00:34:48.046 --> 00:34:53.594
cannot achieve is the amplification and the clarity of sound

725
00:34:53.877 --> 00:34:59.272
especially in the higher frequencies meaning that

726
00:34:59.520 --> 00:35:04.538
voiced sorry unvoiced positives and fricative sounds

727
00:35:04.578 --> 00:35:07.890
these are often cannot be achieved

728
00:35:07.788 --> 00:35:09.985
the signal clarity

729
00:35:09.897 --> 00:35:11.240
via hearing a

730
00:35:11.047 --> 00:35:11.527

731
00:35:11.946 --> 00:35:19.431
and that is when we need cochlear implant where the indication in Thailand in Malaysia and many other

732
00:35:19.189 --> 00:35:25.674
Southeast Asian country is from severe or Worse hearing level

733
00:35:26.677 --> 00:35:33.568
cocka incline is not uh similar to hearing aids in the way that

734
00:35:33.597 --> 00:35:37.100
it is an electrical stimulation

735
00:35:37.190 --> 00:35:41.097
the implant happens in the cochlear

736
00:35:41.289 --> 00:35:41.504

737
00:35:41.476 --> 00:35:46.959
and therefore when the COA is stimulated by the implant

738
00:35:46.916 --> 00:35:52.729
then the signals will be processed by the external sound processor

739
00:35:52.559 --> 00:35:53.660
processor

740
00:35:53.716 --> 00:36:00.099
and this will be processed by the brain because

741
00:35:59.997 --> 00:36:03.180
signals that are sent by the implant

742
00:36:03.067 --> 00:36:06.684
goes via the auditory nerve and

743
00:36:06.659 --> 00:36:08.127
goes to the brain

744
00:36:10.817 --> 00:36:14.683
now let's go back to our students with avt

745
00:36:14.858 --> 00:36:20.514
before they enter our schools this is what happened to them

746
00:36:21.078 --> 00:36:23.082
hopefully

747
00:36:22.996 --> 00:36:28.479
and I know there are cases where babies start to be diagnosed

748
00:36:28.560 --> 00:36:32.382
Ed with Device start intervention

749
00:36:32.347 --> 00:36:39.182
in Thailand and I'm so happy to hear that but this is an exception

750
00:36:39.138 --> 00:36:46.376
not yet to be the norm let's hope that this will be the norm in about 10 years from now

751
00:36:46.567 --> 00:36:51.340
so when these kids are young between 1 to 3 years old

752
00:36:51.310 --> 00:36:57.600
sorry between babies to 3 years old they are diagnosed they are fitted with

753
00:36:57.329 --> 00:36:58.394
device

754
00:36:58.612 --> 00:37:00.232
or cock implant

755
00:37:00.080 --> 00:37:03.191
and then they start auditory verbal therapy

756
00:37:03.231 --> 00:37:06.569
I remember my youngest patient

757
00:37:06.488 --> 00:37:09.397
came in start intervention

758
00:37:09.368 --> 00:37:11.256
2 and a half months old

759
00:37:12.199 --> 00:37:13.300

760
00:37:13.348 --> 00:37:17.898
and then as they grow older they go to kindergarten

761
00:37:17.887 --> 00:37:20.075
mainstream kindergarten

762
00:37:19.949 --> 00:37:25.235
they we try we try and we try as therapists

763
00:37:25.199 --> 00:37:29.355
to work so hard so that these children will catch up

764
00:37:29.236 --> 00:37:32.341
with their listening and spoken language skills

765
00:37:32.436 --> 00:37:34.108
so

766
00:37:34.157 --> 00:37:38.301
they are listening and spoken language skills

767
00:37:38.400 --> 00:37:43.022
at or near each appropriate

768
00:37:43.199 --> 00:37:48.945
it's not enough for them to just talk but at which level are they

769
00:37:48.837 --> 00:37:49.814
talking

770
00:37:49.729 --> 00:37:52.442
that is crucial

771
00:37:53.068 --> 00:37:55.753
because when

772
00:37:55.687 --> 00:37:55.931

773
00:37:55.882 --> 00:38:01.720
enter mainstream school at 6:07 years old depending on

774
00:38:01.518 --> 00:38:06.418
school they go to we want them to enter School

775
00:38:06.319 --> 00:38:11.879
at each appropriate language or at the very worst

776
00:38:11.708 --> 00:38:11.958

777
00:38:12.030 --> 00:38:17.731
2 years gap of language age between their peers

778
00:38:17.600 --> 00:38:17.873

779
00:38:17.858 --> 00:38:20.765
and their language functioning level

780
00:38:22.080 --> 00:38:24.724
so for teachers

781
00:38:24.907 --> 00:38:30.134
often people will ask what is the main thing when you have a child

782
00:38:30.088 --> 00:38:32.444
who is mainstream

783
00:38:32.788 --> 00:38:34.617
in the classroom

784
00:38:34.638 --> 00:38:39.107
often we talk about seating yes seating is important

785
00:38:39.189 --> 00:38:43.896
look at the access black blue

786
00:38:43.868 --> 00:38:46.004
green and red

787
00:38:46.557 --> 00:38:51.834
red is a total no no because it's near the corridor

788
00:38:51.751 --> 00:38:53.244
near the window

789
00:38:53.348 --> 00:38:54.787
that is noisy

790
00:38:54.878 --> 00:39:00.382
we have other classes and children would run and talk and whatever across along the

791
00:39:00.269 --> 00:39:05.602
Corridor that will be distracting uh uh that's not where we put our child

792
00:39:06.376 --> 00:39:07.997
green

793
00:39:08.208 --> 00:39:12.068
that's good why that's right at the front

794
00:39:12.561 --> 00:39:15.625
however the child

795
00:39:15.577 --> 00:39:18.972
who is sitting in the green spot

796
00:39:22.122 --> 00:39:24.572
of what their friends are doing

797
00:39:24.927 --> 00:39:31.005
it will be better if they are having more peripheral or

798
00:39:30.888 --> 00:39:33.693
sorry rather visual cues

799
00:39:33.839 --> 00:39:37.584
meaning that blue is much better

800
00:39:37.740 --> 00:39:37.937

801
00:39:37.877 --> 00:39:39.077
there are still

802
00:39:39.278 --> 00:39:44.286
quite at the front and have the students at the front row

803
00:39:44.148 --> 00:39:47.538
to help them to get visual cues

804
00:39:47.870 --> 00:39:49.788
black

805
00:39:49.848 --> 00:39:50.086

806
00:39:50.170 --> 00:39:53.670
that is right in front of the teacher's desk

807
00:39:54.209 --> 00:39:54.564

808
00:39:54.722 --> 00:39:59.303
but how many of you teachers when you teach in the classroom

809
00:39:59.269 --> 00:39:59.506

810
00:39:59.519 --> 00:40:05.156
you are just sitting like me at the teacher's desk and do not get up at all

811
00:40:06.261 --> 00:40:07.921
do you do that

812
00:40:08.040 --> 00:40:13.654
I think if you do that right from your training days you'll be disqualified from being

813
00:40:13.490 --> 00:40:16.856
teacher because you are supposed to get up

814
00:40:17.078 --> 00:40:22.454
can be around the class so no black is not the spot you want blue

815
00:40:23.361 --> 00:40:27.553
if you have any other seating arrangement

816
00:40:27.592 --> 00:40:30.339
Circle or round table

817
00:40:30.210 --> 00:40:31.644
is a good 1

818
00:40:31.618 --> 00:40:36.746
or have a semicircle or horse shoe formation

819
00:40:36.811 --> 00:40:39.021
that is also a good 1

820
00:40:39.308 --> 00:40:44.346
so that your child will be able to see everyone

821
00:40:44.239 --> 00:40:47.700
as of their visual cue but

822
00:40:47.569 --> 00:40:52.938
that alone is not enough seating arrangement is not the

823
00:40:52.829 --> 00:40:53.868

824
00:40:53.788 --> 00:40:55.215
of the story

825
00:40:57.195 --> 00:40:59.104
acoustics

826
00:40:59.289 --> 00:41:04.819
how many of you now sitting in this haul you really want to listen

827
00:41:04.869 --> 00:41:10.352
to me but the person next to you or behind you or in front of you are talking

828
00:41:10.829 --> 00:41:12.966
and you can't hear me well

829
00:41:12.939 --> 00:41:17.018
don't put up your hand I don't want to offend people in the audience

830
00:41:16.847 --> 00:41:17.200

831
00:41:18.389 --> 00:41:18.623

832
00:41:18.517 --> 00:41:22.764
imagine if you wear cochlear implant

833
00:41:22.997 --> 00:41:28.299
and you try to listen to the teacher but find it hard to listen

834
00:41:28.187 --> 00:41:30.140
hard to understand

835
00:41:30.037 --> 00:41:31.865
because there are noises

836
00:41:31.961 --> 00:41:37.808
so if possible whenever possible identify the source of

837
00:41:37.537 --> 00:41:38.473
noise

838
00:41:38.308 --> 00:41:41.335
put it far from the child

839
00:41:41.578 --> 00:41:43.951
it can be the fan

840
00:41:44.398 --> 00:41:46.855
I can hear some worrying

841
00:41:47.080 --> 00:41:52.824
not worry worrying of machine behind me put it behind the child

842
00:41:53.037 --> 00:41:58.728
and for Cochlear brand cochlear implant the child can have forward Focus

843
00:41:58.937 --> 00:42:01.268
where wherever the child

844
00:42:01.436 --> 00:42:06.097
move the head the focus of the listening will be

845
00:42:05.986 --> 00:42:11.447
in front noise from the back will be automatically attenuated

846
00:42:12.131 --> 00:42:17.387
don't put noises to the next to our student with avt

847
00:42:17.449 --> 00:42:20.167
you will know who is the noisy

848
00:42:20.198 --> 00:42:23.978
a bit naughty and cheeky student in the classroom

849
00:42:23.857 --> 00:42:28.182
please put them a bit away from our student with ADT

850
00:42:28.397 --> 00:42:34.449
look around in the classroom if there are hard shiny

851
00:42:34.429 --> 00:42:35.799
surfaces

852
00:42:35.706 --> 00:42:39.462
these are the ones that are bad for acoustics

853
00:42:39.555 --> 00:42:44.205
let's put some soft materials be it curtains

854
00:42:44.098 --> 00:42:46.688
uh paper posters

855
00:42:46.799 --> 00:42:53.638
cork boards or something soft to absorb the sound waves and reduce River

856
00:42:53.318 --> 00:42:54.345
ation

857
00:42:54.156 --> 00:42:54.440

858
00:42:54.407 --> 00:43:00.729
if you are not sure reach out to the audiologist reach out if the child is an

859
00:43:00.627 --> 00:43:06.007
1 user especially for their brand reach out to tune our bank card

860
00:43:05.889 --> 00:43:11.476
sorry our Thailand country manager who can help with class

861
00:43:11.267 --> 00:43:15.637
from physical accommodation for noise reduction

862
00:43:17.420 --> 00:43:22.378
this is a little bit technical but I need to

863
00:43:22.475 --> 00:43:26.268
say this that we need to understand about

864
00:43:26.376 --> 00:43:29.156
signal to noise ratio

865
00:43:29.455 --> 00:43:34.836
regular classroom anywhere in the world where the children are

866
00:43:34.636 --> 00:43:36.490
King and speaking

867
00:43:36.378 --> 00:43:42.747
mainstream classroom the noise is around 50 to 60 DB SPL

868
00:43:44.319 --> 00:43:44.668

869
00:43:44.894 --> 00:43:51.647
then when the teachers is talking our regular voices without the mind

870
00:43:52.076 --> 00:43:56.751
when I talk like this which you cannot hear of course

871
00:43:57.517 --> 00:44:04.198
the best is around 70 Del but you cannot do this throughout the day are the

872
00:44:03.917 --> 00:44:06.721
device will be abusing your vocal cord

873
00:44:07.694 --> 00:44:13.124
so because usually teachers voices around 65 decide

874
00:44:12.886 --> 00:44:13.667

875
00:44:13.593 --> 00:44:16.803
classroom noises around 60 Del

876
00:44:17.568 --> 00:44:19.447
the difference

877
00:44:19.674 --> 00:44:25.149
for the signal for the teacher's voice to reach the child's desk is only

878
00:44:25.066 --> 00:44:26.522
class 5

879
00:44:27.174 --> 00:44:30.269
that's all the increment

880
00:44:30.375 --> 00:44:35.084
teachers voice that arrived at the child's device

881
00:44:35.505 --> 00:44:38.377
that enough no

882
00:44:39.024 --> 00:44:43.738
student with normal hearing they need plus 6 decibel

883
00:44:43.637 --> 00:44:47.758
students with hearing loss without mini mic

884
00:44:47.473 --> 00:44:53.331
they need about plus 15 to plus 20 decibel

885
00:44:53.055 --> 00:44:55.778
for good signal to noise ratio

886
00:44:56.272 --> 00:45:01.993
but is it realistic to always tell the class be quiet

887
00:45:01.837 --> 00:45:03.833
be quiet be quiet

888
00:45:05.156 --> 00:45:08.442
you can't do that it's not realistic so

889
00:45:08.494 --> 00:45:13.216
remember there is such a thing as remote microphone

890
00:45:13.674 --> 00:45:14.103

891
00:45:13.804 --> 00:45:14.052

892
00:45:14.193 --> 00:45:17.913
for Cochlear brain we have mini mic

893
00:45:17.843 --> 00:45:23.341
for hearing aid users there's some FM system or Roger

894
00:45:24.063 --> 00:45:25.167
system

895
00:45:25.156 --> 00:45:28.880
the mini mic will help our student

896
00:45:28.793 --> 00:45:29.040

897
00:45:28.925 --> 00:45:34.336
to focus to teachers voice because they will hear the voice

898
00:45:34.313 --> 00:45:38.911
directly going into their processor

899
00:45:39.436 --> 00:45:43.344
this will have to reduce their auditory fatigue

900
00:45:43.156 --> 00:45:43.428

901
00:45:43.663 --> 00:45:49.364
but teachers need to familiarize yourself with the device

902
00:45:49.757 --> 00:45:55.323
either get help from the family the parents or again reach out to 2

903
00:45:55.075 --> 00:45:56.350
in Thailand

904
00:45:56.413 --> 00:46:02.021
or anywhere you come from each country will have a popular representative

905
00:46:01.982 --> 00:46:08.135
and get help how do I teach myself to familiarize with this minimize

906
00:46:08.394 --> 00:46:15.571
so that wherever you are in the classroom your voice will reach the child's

907
00:46:15.313 --> 00:46:15.562

908
00:46:15.504 --> 00:46:16.825
processor

909
00:46:16.713 --> 00:46:19.878
as if you are talking right next to it

910
00:46:20.883 --> 00:46:21.111

911
00:46:21.075 --> 00:46:26.435
1 thing though remember to return the microphone that you use

912
00:46:26.325 --> 00:46:27.826
to the child

913
00:46:28.195 --> 00:46:33.601
so that the child can give the microphone to the next teacher that comes into

914
00:46:33.378 --> 00:46:39.045
teach I have had some cases where teachers wear the microphone

915
00:46:39.144 --> 00:46:43.144
because they forget to give back the microphone to the student

916
00:46:43.363 --> 00:46:49.377
wear it to the toilet where it when they go gossiping about their family

917
00:46:49.263 --> 00:46:52.955
and our students with Clay implant knows all the

918
00:46:58.308 --> 00:47:03.976
speak in a natural clear voice at a regular

919
00:47:03.932 --> 00:47:04.519

920
00:47:04.313 --> 00:47:04.977

921
00:47:05.082 --> 00:47:12.288
and do these facing the class 1 thing that you need to be very very

922
00:47:12.074 --> 00:47:14.015
where is

923
00:47:13.924 --> 00:47:18.231
it is very hard for the child to follow your teaching

924
00:47:18.351 --> 00:47:19.196

925
00:47:19.113 --> 00:47:19.400

926
00:47:19.432 --> 00:47:19.705

927
00:47:19.751 --> 00:47:20.099

928
00:47:20.146 --> 00:47:20.365

929
00:47:21.102 --> 00:47:25.791
remember the traditional chalk and talk teaching

930
00:47:26.031 --> 00:47:29.217
the teacher faces the chalkboard

931
00:47:29.432 --> 00:47:35.754
and talk while writing uhuh that doesn't work with our a student

932
00:47:35.645 --> 00:47:36.113

933
00:47:36.428 --> 00:47:40.929
when the our child does not understand

934
00:47:40.951 --> 00:47:46.040
your sentences you need to repeat or rephrase

935
00:47:46.415 --> 00:47:52.007
and you need to do this when other students are commenting or asking

936
00:47:51.913 --> 00:47:57.568
or speaking you need to again repeat or rephrase what the other student is saying

937
00:47:58.071 --> 00:48:01.848
to the class because you have the minimum

938
00:48:01.913 --> 00:48:04.724
but other students do not have the minimum

939
00:48:05.043 --> 00:48:09.558
so you need to tell it again so your avt student can hear

940
00:48:09.793 --> 00:48:10.028

941
00:48:10.041 --> 00:48:10.281

942
00:48:11.264 --> 00:48:17.107
hopefully you have the chance when you want to give new instructions

943
00:48:16.963 --> 00:48:22.704
then asked the class to be quiet first and then you give instruction

944
00:48:22.532 --> 00:48:23.184

945
00:48:24.072 --> 00:48:28.078
and I've talked about don't give your back

946
00:48:27.982 --> 00:48:33.970
facing the class when you are talking because this will be hard for our child to follow

947
00:48:36.052 --> 00:48:41.412
use what we call gearing up to listen phrases

948
00:48:41.951 --> 00:48:45.044
because if you start talking

949
00:48:45.021 --> 00:48:49.152
by just giving instruction for example

950
00:48:49.315 --> 00:48:49.540

951
00:48:49.440 --> 00:48:51.882
you start talking and you just say

952
00:48:51.814 --> 00:48:53.912
turn to page 55

953
00:48:54.433 --> 00:48:54.708

954
00:48:54.691 --> 00:48:59.924
and by the time the child wants to listen to you the sentence has already ended

955
00:49:00.841 --> 00:49:07.241
so you need to have the gearing up phrases like now everyone listen up

956
00:49:07.761 --> 00:49:11.956
and you get the attention turn to page 55

957
00:49:12.633 --> 00:49:15.931
so use this gearing up phrases

958
00:49:16.220 --> 00:49:21.611
when child doesn't understand say it in another way

959
00:49:22.370 --> 00:49:26.993
try not to repeat the same sentence over and over

960
00:49:27.113 --> 00:49:32.919
because the child may get a better idea of what you are saying

961
00:49:33.135 --> 00:49:34.955
if you rephrase it

962
00:49:37.504 --> 00:49:42.875
right key information on the board so that the child can

963
00:49:42.990 --> 00:49:46.463
what you write and what they hear from you

964
00:49:46.910 --> 00:49:50.389
consider having a body system

965
00:49:50.490 --> 00:49:56.697
put a friend next to the child who can help with rephrasing or

966
00:49:56.582 --> 00:50:00.481
repeating what he said in the class

967
00:50:01.391 --> 00:50:04.633
Choose Wisely who is the body

968
00:50:04.710 --> 00:50:09.900
don't choose a child who is the smartest in the class

969
00:50:09.840 --> 00:50:10.028

970
00:50:10.030 --> 00:50:16.305
who has the highest IQ in the class because usually very smart students

971
00:50:16.111 --> 00:50:17.872
they are impatient

972
00:50:18.360 --> 00:50:24.170
they cannot deal with a lot of questions and they cannot understand why some people are

973
00:50:23.931 --> 00:50:24.996
so it's slow

974
00:50:25.209 --> 00:50:30.395
I remember my best friend in school before would turn to me and said

975
00:50:30.590 --> 00:50:35.443
you are on that question do I've already finished and there were 30 questions

976
00:50:36.176 --> 00:50:40.259
but she was still my best friend she is still my best friend until today

977
00:50:40.911 --> 00:50:46.453
so don't pick the smartest student in the class don't pick the

978
00:50:46.291 --> 00:50:53.326
a student either because we don't want the weakest student to be the role model for our AB

979
00:50:53.155 --> 00:50:54.251
student

980
00:50:54.230 --> 00:50:57.193
Peak student who is in the middle

981
00:50:57.881 --> 00:50:59.175

982
00:50:59.110 --> 00:51:02.250
with a lot of compassion

983
00:51:04.481 --> 00:51:10.262
with a lot of understanding of how to interact communicate

984
00:51:10.312 --> 00:51:10.528

985
00:51:10.510 --> 00:51:15.629
and Foster friendship with a friend who has hearing loss

986
00:51:16.994 --> 00:51:22.275
and also what teachers can do is orientate your class

987
00:51:22.480 --> 00:51:28.009
oriented the other hearing students on how to make listening and

988
00:51:27.741 --> 00:51:29.021
medication

989
00:51:28.830 --> 00:51:32.192
easier for your ABT students

990
00:51:32.480 --> 00:51:39.134
the things that I've mentioned before about speaking clearly and speaking directly

991
00:51:39.075 --> 00:51:40.385
do the same

992
00:51:40.550 --> 00:51:45.470
teach other students to do the same with their EVT friend

993
00:51:45.800 --> 00:51:49.820
when they want to talk with their EVT friend

994
00:51:49.710 --> 00:51:55.219
ask them to stand closely don't shout from across the room

995
00:51:55.031 --> 00:51:58.652
shouting doesn't help them to hear it better

996
00:51:59.261 --> 00:52:04.658
if they want to talk with their EVT friend tell them to get the attention

997
00:52:04.579 --> 00:52:05.844
confessed

998
00:52:06.179 --> 00:52:13.054
and when they're talking to your avt friend tell them not to run while talking that doesn't help

999
00:52:13.548 --> 00:52:14.709
be still

1000
00:52:15.211 --> 00:52:16.813

1001
00:52:16.750 --> 00:52:18.091
always

1002
00:52:18.092 --> 00:52:22.589
watch and if they think that every friend looks lost

1003
00:52:22.511 --> 00:52:24.032
looks confused

1004
00:52:24.049 --> 00:52:28.197
need help just approach him or her and asked

1005
00:52:28.345 --> 00:52:30.354
would you like me to help you

1006
00:52:30.780 --> 00:52:33.138
this just doesn't

1007
00:52:36.559 --> 00:52:42.442
to have this accommodation but these strategies also help the other hearings

1008
00:52:42.180 --> 00:52:44.465
students in the mainstream class

1009
00:52:44.294 --> 00:52:44.832

1010
00:52:44.612 --> 00:52:49.992
to have more understanding of how it is to live with

1011
00:52:50.063 --> 00:52:51.312
fell

1012
00:52:51.149 --> 00:52:55.177
students or fellow friends with different abilities

1013
00:52:57.185 --> 00:52:57.384

1014
00:52:57.300 --> 00:52:57.533

1015
00:52:57.681 --> 00:53:01.627
so what's needed for successful mainstreaming

1016
00:53:02.870 --> 00:53:07.905
mainstreaming is not just about the child the teacher and the school

1017
00:53:08.062 --> 00:53:11.105
we need the team

1018
00:53:11.011 --> 00:53:13.686
that worked with the child previously

1019
00:53:13.948 --> 00:53:20.357
parents have to be there the therapist the audiologist If the child had

1020
00:53:20.112 --> 00:53:25.719
occupational therapist or physical therapist or special education specialist

1021
00:53:25.611 --> 00:53:25.830

1022
00:53:25.803 --> 00:53:33.341
or the Ministry of Education officers all these people need to work together and

1023
00:53:33.111 --> 00:53:36.708
Kate I just go straight to The Orange Box

1024
00:53:36.631 --> 00:53:39.774
they need to communicate with each other

1025
00:53:40.919 --> 00:53:46.472
does the child have undergone has the child undergone

1026
00:53:46.311 --> 00:53:46.585

1027
00:53:46.499 --> 00:53:49.108
teach appropriate goals

1028
00:53:48.988 --> 00:53:51.355
throughout the intervention

1029
00:53:52.011 --> 00:53:57.456
and if yes is this carried out continuing when the

1030
00:53:57.318 --> 00:54:02.864
child is in school this includes current level of functioning

1031
00:54:02.639 --> 00:54:06.342
individualized goals precise assessment

1032
00:54:06.231 --> 00:54:09.439
and measurement across all aspects of the

1033
00:54:09.238 --> 00:54:10.234
development

1034
00:54:10.269 --> 00:54:11.751
remember

1035
00:54:11.802 --> 00:54:17.033
for the whole child management is not just speaking and listening

1036
00:54:17.633 --> 00:54:24.692
what about self-help skills what about daily living activities what

1037
00:54:23.069 --> 00:54:25.626
psychosocial development

1038
00:54:27.198 --> 00:54:31.509
this is something that I must stress

1039
00:54:31.919 --> 00:54:39.217
for a child to go to mainstream they need to have age appropriate language you will hear me

1040
00:54:39.028 --> 00:54:41.299
repeating this again and again

1041
00:54:41.401 --> 00:54:46.586
if it's not at each level at least near age level

1042
00:54:46.520 --> 00:54:51.549
because for them to access the curriculum in a mainstream setting

1043
00:54:51.459 --> 00:54:56.749
via listening they need each appropriate language

1044
00:54:57.103 --> 00:55:03.997
and then needs to be pre and post teaching of Concepts and again I must stress

1045
00:55:03.879 --> 00:55:07.276
usage of remote microphone

1046
00:55:07.472 --> 00:55:10.271
when teaching and learning occurs

1047
00:55:12.020 --> 00:55:15.627
just to give you the idea

1048
00:55:15.671 --> 00:55:17.942
of what is needed

1049
00:55:18.040 --> 00:55:24.526
before this child if it student enters school they need

1050
00:55:24.771 --> 00:55:28.180
the learning to listen period

1051
00:55:28.478 --> 00:55:29.547
this 1

1052
00:55:30.222 --> 00:55:30.418

1053
00:55:30.353 --> 00:55:34.825
so infancy to break in the garden this what happened

1054
00:55:35.150 --> 00:55:35.491

1055
00:55:35.472 --> 00:55:41.027
hopefully when they have enough adequate and good quality of learn

1056
00:55:40.721 --> 00:55:42.743
to listen period

1057
00:55:42.639 --> 00:55:45.432
then they can go to kindergarten

1058
00:55:45.329 --> 00:55:50.115
they enter our schools with the skills to listen

1059
00:55:50.009 --> 00:55:51.302
to learn

1060
00:55:51.608 --> 00:55:59.535
if this doesn't happen or this happened poorly or this happened in a very short period

1061
00:55:59.809 --> 00:56:04.799
because they only started habilitation or intervention at the age of 5

1062
00:56:04.809 --> 00:56:06.308
at the age of 6

1063
00:56:06.349 --> 00:56:09.979
there isn't enough time for them to learn to listen

1064
00:56:10.072 --> 00:56:12.498
what happened when they entered this phase

1065
00:56:12.428 --> 00:56:12.663

1066
00:56:13.345 --> 00:56:19.900
it's hard or almost impossible for them to use listening to learn because listening

1067
00:56:19.740 --> 00:56:21.375
did not exist

1068
00:56:23.321 --> 00:56:23.564

1069
00:56:24.278 --> 00:56:28.353
let me share you some data from Malaysia

1070
00:56:29.149 --> 00:56:34.433
this is an old data because this was when I was still working with University

1071
00:56:34.343 --> 00:56:34.808

1072
00:56:35.372 --> 00:56:36.157

1073
00:56:36.328 --> 00:56:40.447
the merely 400 children

1074
00:56:40.870 --> 00:56:46.627
implanted by you the university we found that 60% of these children

1075
00:56:46.449 --> 00:56:47.874
use oral language

1076
00:56:47.728 --> 00:56:48.458

1077
00:56:48.692 --> 00:56:53.338
now compare that with education placement

1078
00:56:53.310 --> 00:56:56.444
we have 60% here in mainstream

1079
00:56:56.842 --> 00:56:57.032

1080
00:56:57.018 --> 00:57:00.766
not quite but nearly 60

1081
00:57:00.667 --> 00:57:03.081
what happened to the 2% you ask

1082
00:57:03.428 --> 00:57:03.634

1083
00:57:03.810 --> 00:57:10.024
the 2% in the in Special School cute speech school or integrated

1084
00:57:09.959 --> 00:57:15.913
in Malaysia integrated School meaning that is special education class

1085
00:57:15.860 --> 00:57:22.075
within a mainstream school so that when the child in special class

1086
00:57:22.068 --> 00:57:23.261
improves

1087
00:57:23.218 --> 00:57:23.495

1088
00:57:23.469 --> 00:57:26.529
they can do semi inclusion

1089
00:57:26.489 --> 00:57:26.760

1090
00:57:26.618 --> 00:57:34.225
hopeful inclusion when the child actually reaches the level that enables them to function in

1091
00:57:34.239 --> 00:57:35.273
mainstream

1092
00:57:35.460 --> 00:57:37.542
so they don't have to change School

1093
00:57:38.790 --> 00:57:39.677

1094
00:57:39.678 --> 00:57:45.138
that what what this means is that the mode of communication that we

1095
00:57:44.941 --> 00:57:46.676
2 is for the child

1096
00:57:46.598 --> 00:57:50.018
very crucial because it will decide

1097
00:57:49.939 --> 00:57:51.817
where the child will go

1098
00:57:52.238 --> 00:57:58.247
the second thing that we learned is that just because the child uses Auto language

1099
00:57:57.948 --> 00:58:02.660
which doesn't mean that the child will become mainstream school student

1100
00:58:03.449 --> 00:58:08.978
it is harder to be mainstream compared to learning to

1101
00:58:08.829 --> 00:58:09.908
talk

1102
00:58:10.562 --> 00:58:10.781

1103
00:58:10.748 --> 00:58:15.597
and this brings me to the second data that I want to share

1104
00:58:15.879 --> 00:58:19.360
again from Malaysia when I was still there

1105
00:58:20.110 --> 00:58:20.518

1106
00:58:20.618 --> 00:58:26.103
with every 1 month delay of cochlear implantation

1107
00:58:25.938 --> 00:58:26.518

1108
00:58:26.450 --> 00:58:30.521
the odds of our child to be able to

1109
00:58:30.429 --> 00:58:34.925
speak will be reduced by 2.6%

1110
00:58:34.837 --> 00:58:35.055

1111
00:58:35.668 --> 00:58:38.571
you time this by 12

1112
00:58:38.631 --> 00:58:44.008
to know if we delay COA implantation by 12 months

1113
00:58:43.869 --> 00:58:45.177
for 1 year

1114
00:58:45.468 --> 00:58:46.445

1115
00:58:46.381 --> 00:58:46.614

1116
00:58:46.568 --> 00:58:48.835
what is the

1117
00:58:49.768 --> 00:58:52.155
decreased probability

1118
00:58:52.068 --> 00:58:54.538
for this child to talk

1119
00:58:55.857 --> 00:59:02.035
usually you don't delay by 1 month some parents say oh we need to look for money

1120
00:59:01.939 --> 00:59:04.848
funding and all that we don't have that wonderful

1121
00:59:04.758 --> 00:59:10.272
the Federation and things like that like what you have here in Thailand we don't have such things

1122
00:59:10.269 --> 00:59:11.151
Malaysia

1123
00:59:12.188 --> 00:59:15.280
sometimes they delay by 1 and a half years

1124
00:59:15.388 --> 00:59:21.194
so imagine how much reduction of probability for the child to speak

1125
00:59:21.989 --> 00:59:26.375
now to enter mainstream school is much harder

1126
00:59:26.539 --> 00:59:32.501
everyone months decreased sorry every 1 month delay

1127
00:59:33.269 --> 00:59:35.386
of implantation

1128
00:59:35.388 --> 00:59:35.722

1129
00:59:36.027 --> 00:59:39.752
the odds of going to mainstream School

1130
00:59:39.669 --> 00:59:42.903
will be reduced by 3.3%

1131
00:59:43.589 --> 00:59:45.902
time this by 12

1132
00:59:46.269 --> 00:59:49.248
how much reduction of probability

1133
00:59:49.219 --> 00:59:52.272
the child will have to go to mainstream School

1134
00:59:52.428 --> 00:59:55.762
if we delay the implant by a year

1135
00:59:58.456 --> 00:59:58.789

1136
00:59:59.670 --> 00:59:59.919

1137
01:00:00.052 --> 01:00:02.886
let that sink in for a second

1138
01:00:04.528 --> 01:00:04.892

1139
01:00:05.228 --> 01:00:05.956

1140
01:00:06.070 --> 01:00:06.274

1141
01:00:06.319 --> 01:00:12.545
so there is a Continuum of how our children with hearing loss

1142
01:00:12.470 --> 01:00:13.962
communicate

1143
01:00:15.028 --> 01:00:19.944
I'm so happy to today to see quite a number of people

1144
01:00:20.550 --> 01:00:23.948
in our audience who uses sign language

1145
01:00:24.271 --> 01:00:30.226
many of our children with hearing loss will also use sign language and they are

1146
01:00:29.958 --> 01:00:30.812

1147
01:00:30.858 --> 01:00:31.999
or here

1148
01:00:32.270 --> 01:00:35.885
they are fully visual or mostly visual

1149
01:00:35.789 --> 01:00:37.139
communicator

1150
01:00:37.198 --> 01:00:42.859
if they are fully visual they you signing only if they are mostly visual

1151
01:00:42.708 --> 01:00:45.675
it probably will use a lot more sign

1152
01:00:45.658 --> 01:00:47.543
and some oral language

1153
01:00:47.507 --> 01:00:48.323

1154
01:00:48.539 --> 01:00:53.443
will they be in mainstream school without interpreter

1155
01:00:54.558 --> 01:01:00.107
probably not they need interpreter in school how many Bangkok

1156
01:00:59.947 --> 01:01:03.689
schools have sign language interpreter in mainstream class

1157
01:01:05.197 --> 01:01:08.173
9 the same with Malaysia

1158
01:01:08.469 --> 01:01:13.902
children who use sign language cannot be in mainstream schools in both

1159
01:01:13.718 --> 01:01:16.987
Malaysia and also Thailand I know that

1160
01:01:17.121 --> 01:01:18.589
so

1161
01:01:18.520 --> 01:01:24.027
our children who are more visual despite using hearing aids

1162
01:01:23.909 --> 01:01:27.108
despite using even colea implant

1163
01:01:26.909 --> 01:01:32.377
they are here they are not supposed to be in Main Street

1164
01:01:32.109 --> 01:01:32.630

1165
01:01:33.449 --> 01:01:36.889
even with implants

1166
01:01:38.128 --> 01:01:43.254
currently in plan really good habilitation then they

1167
01:01:43.117 --> 01:01:48.584
most probably will end up being fully auditory in communication

1168
01:01:48.567 --> 01:01:50.816
they're listening and speaking

1169
01:01:50.809 --> 01:01:54.764
or maybe mostly auditory

1170
01:01:55.110 --> 01:01:55.540

1171
01:01:55.297 --> 01:02:00.983
their language level may be not age appropriate but just slightly delayed

1172
01:02:00.928 --> 01:02:03.125
about 2 years delay

1173
01:02:03.243 --> 01:02:05.854
then this grew

1174
01:02:06.247 --> 01:02:07.538
can be

1175
01:02:08.361 --> 01:02:10.755
in mainstream setting

1176
01:02:11.378 --> 01:02:16.172
if you try to put this group in mainstream setting you can

1177
01:02:16.948 --> 01:02:21.569
and then you will realize after 6 months 1 year what will happen

1178
01:02:21.498 --> 01:02:21.733

1179
01:02:21.691 --> 01:02:24.440
they need to be replaced

1180
01:02:24.829 --> 01:02:27.351
in special education setting

1181
01:02:27.517 --> 01:02:30.751
you are setting the child up for failure

1182
01:02:33.087 --> 01:02:39.282
let's Ponder on several points let's take

1183
01:02:39.561 --> 01:02:41.369
as something

1184
01:02:41.417 --> 01:02:41.635

1185
01:02:41.869 --> 01:02:47.313
food for thought you just had lunch you had food for your stomach now food for your brain

1186
01:02:48.413 --> 01:02:50.140
and I'm talking

1187
01:02:50.068 --> 01:02:55.316
from the heart of a habilitation looking after

1188
01:02:55.387 --> 01:03:01.153
southeast Asia region especially Thailand my nearest neighbor to Malaysia

1189
01:03:00.829 --> 01:03:01.234

1190
01:03:03.267 --> 01:03:04.615
first 1

1191
01:03:05.698 --> 01:03:06.233

1192
01:03:06.467 --> 01:03:06.670

1193
01:03:06.717 --> 01:03:12.184
do we know when our child enters school what has been the

1194
01:03:11.979 --> 01:03:17.329
survey of progress in the listening and spoken language

1195
01:03:17.998 --> 01:03:21.091
beginning of the child's intervention

1196
01:03:21.007 --> 01:03:24.150
to just before the child enter School

1197
01:03:24.400 --> 01:03:25.926
as a teacher

1198
01:03:25.882 --> 01:03:28.451
do we know as a teacher

1199
01:03:28.381 --> 01:03:29.748
do we ask

1200
01:03:30.230 --> 01:03:34.632
if we don't you better do now because Dr basa has told you

1201
01:03:34.720 --> 01:03:35.844
to do so

1202
01:03:36.768 --> 01:03:37.129

1203
01:03:37.149 --> 01:03:37.815

1204
01:03:38.049 --> 01:03:42.507
do you know if the child has any additional diagnosis

1205
01:03:43.633 --> 01:03:47.167
sometimes parents do not tell you

1206
01:03:47.079 --> 01:03:52.441
why because they are afraid if they come clean and tell everything

1207
01:03:52.533 --> 01:03:56.734
to you you will be so overwhelmed when you said look

1208
01:03:56.628 --> 01:04:02.422
maybe you should just send your child to special education class without even starting

1209
01:04:02.200 --> 01:04:04.559
to teach the child first

1210
01:04:07.008 --> 01:04:12.470
that's why talking to the team managing the child is important

1211
01:04:12.258 --> 01:04:12.589

1212
01:04:14.757 --> 01:04:18.901
do you know what is the child's language and listening levels

1213
01:04:18.788 --> 01:04:21.884
near the entry to school

1214
01:04:22.187 --> 01:04:26.409
again you know this by talking to the therapist

1215
01:04:26.287 --> 01:04:28.161
or to the audiologist

1216
01:04:29.358 --> 01:04:35.071
School Readiness skills like I mentioned before it's not just about listening it's not just

1217
01:04:34.870 --> 01:04:36.681
about talking

1218
01:04:36.600 --> 01:04:42.116
can the child go to the toilet independently can reach a bite things from the school canteen

1219
01:04:42.237 --> 01:04:43.412
independently

1220
01:04:43.388 --> 01:04:48.961
does the child know how to problem solve does the child know how to establish

1221
01:04:48.648 --> 01:04:52.253
friendship and maintain friendship

1222
01:04:52.488 --> 01:04:57.938
does the child can can the child play with other children well in the playground

1223
01:04:58.507 --> 01:04:59.924
do we know this

1224
01:05:00.048 --> 01:05:01.545
do we observe this

1225
01:05:03.957 --> 01:05:04.876

1226
01:05:05.427 --> 01:05:11.227
this may be a raw point but I asked this question not just in Thailand

1227
01:05:11.069 --> 01:05:13.272
but in other countries as well

1228
01:05:14.078 --> 01:05:17.315
here my audience

1229
01:05:17.802 --> 01:05:18.963

1230
01:05:18.877 --> 01:05:23.377
people who are very close to Ministry of Education am I right

1231
01:05:24.589 --> 01:05:24.796

1232
01:05:25.347 --> 01:05:28.917
do we talk to people in the Ministry of Health

1233
01:05:29.390 --> 01:05:34.653
is there any formal or informal communication cable

1234
01:05:34.638 --> 01:05:36.775
between m o e

1235
01:05:36.698 --> 01:05:38.461
and m o h

1236
01:05:38.547 --> 01:05:42.484
if there isn't when are we going to start

1237
01:05:42.388 --> 01:05:42.676

1238
01:05:42.907 --> 01:05:48.287
knowing that it is important for our child to Transit

1239
01:05:48.097 --> 01:05:48.330

1240
01:05:48.347 --> 01:05:48.575

1241
01:05:48.547 --> 01:05:53.326
from their Early Intervention which is mainly under MO

1242
01:05:53.228 --> 01:05:57.052
cool cool which is under Ministry of Education

1243
01:05:59.324 --> 01:05:59.575

1244
01:05:59.691 --> 01:06:01.239
last question

1245
01:06:01.548 --> 01:06:02.223

1246
01:06:02.259 --> 01:06:06.633
do we know how involved is the child's parents

1247
01:06:06.609 --> 01:06:12.027
during intervention before the child started school because

1248
01:06:12.193 --> 01:06:17.198
that is an indication of how much these parents will be involved when the child

1249
01:06:17.190 --> 01:06:18.865
is in school

1250
01:06:19.109 --> 01:06:22.017
from your experience you already know

1251
01:06:21.919 --> 01:06:28.037
parents who are involved with the child's academic help not help them with their home

1252
01:06:27.746 --> 01:06:29.921
God forbid um

1253
01:06:29.867 --> 01:06:35.620
takes interest about the child's performance and making sure that the child

1254
01:06:35.510 --> 01:06:35.692

1255
01:06:35.627 --> 01:06:36.536
Cooling

1256
01:06:36.527 --> 01:06:41.849
uh experience is well taken care of these are the students

1257
01:06:41.979 --> 01:06:44.132
that are more likely to succeed

1258
01:06:44.088 --> 01:06:46.539
whether they have disabilities or not

1259
01:06:47.229 --> 01:06:52.901
you need to find out the history of these parents involvement during intervention

1260
01:06:52.740 --> 01:06:54.489
because

1261
01:06:54.911 --> 01:06:55.448

1262
01:06:55.619 --> 01:06:59.410
the parental input of language

1263
01:06:59.467 --> 01:07:05.030
is the best predictor of the child's language and the child's

1264
01:07:04.837 --> 01:07:06.110
native outcome

1265
01:07:08.061 --> 01:07:13.014
children who use listening and spoken language at home

1266
01:07:13.748 --> 01:07:13.977

1267
01:07:14.066 --> 01:07:19.564
intensively and using the right avt techniques they are the

1268
01:07:19.317 --> 01:07:22.361
1 who have better language course

1269
01:07:22.588 --> 01:07:22.802

1270
01:07:23.167 --> 01:07:27.906
compared to those who use speaking and signing or total communication

1271
01:07:28.667 --> 01:07:29.143

1272
01:07:29.188 --> 01:07:34.795
parents who are well coached well guided during intervention

1273
01:07:34.628 --> 01:07:39.134
will become active Learners will become the primary

1274
01:07:39.188 --> 01:07:39.435

1275
01:07:39.381 --> 01:07:41.460
language facilitators

1276
01:07:41.429 --> 01:07:42.624
for their child

1277
01:07:42.508 --> 01:07:48.055
and they will continue to do so when their child enters school age

1278
01:07:50.138 --> 01:07:55.710
parent and child conversation in particular they are taking turns

1279
01:07:55.459 --> 01:07:56.962
conversation

1280
01:07:56.931 --> 01:07:57.141

1281
01:07:57.059 --> 01:07:59.971
will influence the child's verbal

1282
01:08:00.000 --> 01:08:02.726
language and cognitive skills

1283
01:08:02.632 --> 01:08:08.356
and these skills between 18 and 24 months the more

1284
01:08:08.138 --> 01:08:10.862
conversational turns happen then

1285
01:08:10.757 --> 01:08:10.968

1286
01:08:10.950 --> 01:08:15.231
will predict their skills 10 years later

1287
01:08:16.082 --> 01:08:18.605
the effect is long-lasting

1288
01:08:18.709 --> 01:08:24.119
those of you who are young parents who have very very young children or babies

1289
01:08:24.150 --> 01:08:28.203
make sure you have a lot of conversational turns

1290
01:08:28.318 --> 01:08:29.955
is your young children

1291
01:08:31.329 --> 01:08:33.983
so hopefully

1292
01:08:33.950 --> 01:08:39.506
with the right direction early intervention the right device the right therap

1293
01:08:39.338 --> 01:08:41.550
with the right Knowledge and Skills

1294
01:08:41.901 --> 01:08:46.234
and I would if it is student goes through school

1295
01:08:46.188 --> 01:08:49.882
from primary to secondary and then tertiary

1296
01:08:50.480 --> 01:08:52.671
hopefully this is

1297
01:08:52.787 --> 01:08:55.704
they will become I will show you

1298
01:08:55.869 --> 01:08:56.099

1299
01:08:56.119 --> 01:09:01.648
1 of my previous patient I don't call them student because I was a therapist

1300
01:09:01.889 --> 01:09:03.978
who was

1301
01:09:04.639 --> 01:09:09.750
8 years old when I first met him he was with another therapist before

1302
01:09:10.150 --> 01:09:10.403

1303
01:09:10.469 --> 01:09:16.018
so from being my patient now he is my colleague at coccia Malaysia

1304
01:09:16.489 --> 01:09:19.739
he is a head engineer

1305
01:09:20.149 --> 01:09:22.926
at the repair department

1306
01:09:22.900 --> 01:09:28.464
in cocka Malaysia even though it's COA Malaysia the repair for speech

1307
01:09:28.278 --> 01:09:30.235
in Malaysia

1308
01:09:30.198 --> 01:09:32.463
from all over the world

1309
01:09:32.378 --> 01:09:32.592

1310
01:09:33.471 --> 01:09:33.688

1311
01:09:33.857 --> 01:09:39.413
and he is the head engineer there let's listen to his experience

1312
01:09:39.427 --> 01:09:43.421
then he went to University and he shared this with

1313
01:09:43.270 --> 01:09:48.575
this with parents during uh seminar that we held at the University before

1314
01:09:52.558 --> 01:09:53.284

1315
01:09:53.908 --> 01:09:57.122
I'm sorry I don't get the sound

1316
01:09:58.346 --> 01:10:02.264
from this video can I get technical help

1317
01:10:04.279 --> 01:10:04.540

1318
01:10:05.690 --> 01:10:05.942

1319
01:10:05.947 --> 01:10:07.200

1320
01:10:07.108 --> 01:10:07.392

1321
01:10:07.549 --> 01:10:08.211

1322
01:10:08.190 --> 01:10:08.595

1323
01:10:08.828 --> 01:10:09.049

1324
01:10:09.727 --> 01:10:09.967

1325
01:10:09.990 --> 01:10:10.906

1326
01:10:10.877 --> 01:10:11.100

1327
01:10:11.070 --> 01:10:11.293

1328
01:10:11.708 --> 01:10:11.968

1329
01:10:15.428 --> 01:10:15.714

1330
01:10:15.748 --> 01:10:16.134

1331
01:10:15.947 --> 01:10:17.778

1332
01:10:17.873 --> 01:10:21.581
there is no sound from here

1333
01:10:21.828 --> 01:10:22.049

1334
01:10:22.928 --> 01:10:23.168

1335
01:10:23.191 --> 01:10:25.548
I'll try again

1336
01:10:27.029 --> 01:10:27.495
okay

1337
01:10:27.469 --> 01:10:27.948

1338
01:10:29.519 --> 01:10:29.762

1339
01:10:29.708 --> 01:10:29.930

1340
01:10:29.838 --> 01:10:30.079

1341
01:10:29.970 --> 01:10:30.191

1342
01:10:30.097 --> 01:10:30.755

1343
01:10:31.127 --> 01:10:31.672

1344
01:10:32.597 --> 01:10:32.822

1345
01:10:32.859 --> 01:10:33.143

1346
01:10:33.047 --> 01:10:33.510

1347
01:10:34.328 --> 01:10:35.182

1348
01:10:35.671 --> 01:10:36.139

1349
01:10:36.698 --> 01:10:36.912

1350
01:10:38.122 --> 01:10:38.347

1351
01:10:38.867 --> 01:10:39.357

1352
01:10:39.390 --> 01:10:39.735

1353
01:10:39.709 --> 01:10:40.002

1354
01:10:40.230 --> 01:10:40.583

1355
01:10:40.798 --> 01:10:41.278

1356
01:10:41.308 --> 01:10:41.660

1357
01:10:41.759 --> 01:10:42.348

1358
01:10:42.471 --> 01:10:43.766

1359
01:10:43.808 --> 01:10:44.028

1360
01:10:45.091 --> 01:10:45.314

1361
01:10:45.917 --> 01:10:46.168

1362
01:10:46.178 --> 01:10:46.585

1363
01:10:47.198 --> 01:10:47.661

1364
01:10:47.590 --> 01:10:47.811

1365
01:10:47.735 --> 01:10:48.797
test

1366
01:10:48.678 --> 01:10:50.682

1367
01:10:50.667 --> 01:10:51.001

1368
01:10:50.991 --> 01:10:53.034

1369
01:10:56.309 --> 01:10:56.576

1370
01:10:56.497 --> 01:10:56.835

1371
01:10:57.197 --> 01:10:57.440

1372
01:10:57.709 --> 01:10:57.914

1373
01:10:57.909 --> 01:10:58.143

1374
01:10:59.697 --> 01:11:00.942

1375
01:11:00.910 --> 01:11:01.197

1376
01:11:01.491 --> 01:11:01.759

1377
01:11:02.127 --> 01:11:02.593

1378
01:11:02.827 --> 01:11:03.556

1379
01:11:03.597 --> 01:11:03.858

1380
01:11:03.867 --> 01:11:04.148

1381
01:11:04.189 --> 01:11:04.467

1382
01:11:05.078 --> 01:11:09.676
yeah yeah

1383
01:11:14.429 --> 01:11:19.783
yeah

1384
01:11:22.060 --> 01:11:24.702
any update Kelvin try again

1385
01:11:26.348 --> 01:11:28.398
okay let me try again

1386
01:11:28.789 --> 01:11:28.980

1387
01:11:29.038 --> 01:11:29.296

1388
01:11:29.810 --> 01:11:30.046

1389
01:11:30.068 --> 01:11:30.312

1390
01:11:30.448 --> 01:11:31.761

1391
01:11:31.729 --> 01:11:31.939

1392
01:11:32.240 --> 01:11:32.463

1393
01:11:33.011 --> 01:11:33.546

1394
01:11:33.517 --> 01:11:33.763

1395
01:11:33.711 --> 01:11:33.931

1396
01:11:34.289 --> 01:11:34.525

1397
01:11:34.480 --> 01:11:34.697

1398
01:11:34.798 --> 01:11:35.581

1399
01:11:35.509 --> 01:11:35.789

1400
01:11:36.211 --> 01:11:36.447

1401
01:11:36.729 --> 01:11:36.974

1402
01:11:37.748 --> 01:11:37.971

1403
01:11:37.878 --> 01:11:38.121

1404
01:11:38.137 --> 01:11:38.393

1405
01:11:38.779 --> 01:11:39.119

1406
01:11:39.868 --> 01:11:40.092

1407
01:11:40.247 --> 01:11:40.852

1408
01:11:41.268 --> 01:11:42.364

1409
01:11:42.298 --> 01:11:42.580

1410
01:11:42.547 --> 01:11:42.767

1411
01:11:42.868 --> 01:11:43.526

1412
01:11:43.510 --> 01:11:43.796

1413
01:11:44.468 --> 01:11:44.842

1414
01:11:45.887 --> 01:11:46.174

1415
01:11:46.212 --> 01:11:47.676

1416
01:11:48.525 --> 01:11:48.774

1417
01:11:49.218 --> 01:11:49.435

1418
01:11:49.411 --> 01:11:51.478

1419
01:11:51.517 --> 01:11:51.802

1420
01:11:51.779 --> 01:11:52.187

1421
01:11:53.069 --> 01:11:53.595

1422
01:11:53.768 --> 01:11:56.652

1423
01:11:57.883 --> 01:11:58.145

1424
01:11:58.247 --> 01:11:58.765

1425
01:11:59.018 --> 01:11:59.298

1426
01:11:59.268 --> 01:12:00.494

1427
01:12:00.998 --> 01:12:03.854
I

1428
01:12:04.017 --> 01:12:09.312
sorry I know I have a problem

1429
01:12:09.267 --> 01:12:10.948
obviously

1430
01:12:10.937 --> 01:12:11.343

1431
01:12:11.580 --> 01:12:14.465

1432
01:12:14.518 --> 01:12:17.907

1433
01:12:19.330 --> 01:12:22.419
um they don't have a huge problem

1434
01:12:22.911 --> 01:12:23.518

1435
01:12:23.487 --> 01:12:23.736

1436
01:12:23.748 --> 01:12:24.465

1437
01:12:24.387 --> 01:12:29.422
from study information all about and if she was surprised that

1438
01:12:29.767 --> 01:12:33.657
disability

1439
01:12:33.610 --> 01:12:33.834

1440
01:12:33.999 --> 01:12:35.513
as you know it's something

1441
01:12:35.856 --> 01:12:37.337
and then she said that

1442
01:12:37.333 --> 01:12:37.620

1443
01:12:37.587 --> 01:12:38.915
are you calling now

1444
01:12:38.799 --> 01:12:43.947
like

1445
01:12:44.057 --> 01:12:44.315

1446
01:12:44.631 --> 01:12:44.881

1447
01:12:44.832 --> 01:12:45.426

1448
01:12:45.467 --> 01:12:45.693

1449
01:12:45.907 --> 01:12:47.466

1450
01:12:47.388 --> 01:12:47.621

1451
01:12:47.581 --> 01:12:47.958

1452
01:12:47.830 --> 01:12:51.130
was surprised and she's really to teach me

1453
01:12:51.107 --> 01:12:51.837

1454
01:12:52.387 --> 01:12:52.846

1455
01:12:52.830 --> 01:12:53.045

1456
01:12:53.030 --> 01:12:54.721
on Facebook

1457
01:12:54.432 --> 01:12:55.454
you just need to

1458
01:12:55.519 --> 01:12:58.057
teachers that you have a problem

1459
01:12:58.286 --> 01:12:58.694

1460
01:13:00.968 --> 01:13:05.354
who was my patient and now my dear

1461
01:13:05.388 --> 01:13:07.413
younger brother because

1462
01:13:07.508 --> 01:13:12.105
we both our both our families considered each other as related now

1463
01:13:13.138 --> 01:13:18.362
so let's hope that that inspires you to really

1464
01:13:18.587 --> 01:13:20.139
assist

1465
01:13:20.950 --> 01:13:22.149
and

1466
01:13:22.168 --> 01:13:24.948
really guide your a student

1467
01:13:24.930 --> 01:13:26.053
in your classroom

1468
01:13:26.657 --> 01:13:27.046

1469
01:13:26.852 --> 01:13:28.524
thank you for your attention

1470
01:13:28.450 --> 01:13:31.674

1471
01:13:31.850 --> 01:13:32.148

1472
01:13:32.169 --> 01:13:32.377

1473
01:13:32.428 --> 01:13:32.639

1474
01:13:33.001 --> 01:13:33.468

1475
01:13:33.508 --> 01:13:33.791

1476
01:13:33.769 --> 01:13:34.139

1477
01:13:34.537 --> 01:13:34.775

1478
01:13:34.787 --> 01:13:39.761
thank you Dr basa uh that was very informative um

1479
01:13:40.107 --> 01:13:43.529
of me I uh anybody has questions for Dr Basa

1480
01:13:45.228 --> 01:13:45.416

1481
01:13:45.619 --> 01:13:46.970
the longer you

1482
01:13:47.218 --> 01:13:47.917

1483
01:13:48.071 --> 01:13:51.328

1484
01:13:51.577 --> 01:13:51.807

1485
01:13:52.027 --> 01:13:53.233
yes

1486
01:13:53.427 --> 01:13:55.830
oh

1487
01:13:55.799 --> 01:13:56.069

1488
01:13:56.002 --> 01:13:56.222

1489
01:13:56.320 --> 01:13:56.541

1490
01:13:57.154 --> 01:13:58.759

1491
01:13:59.652 --> 01:14:00.188

1492
01:14:00.353 --> 01:14:01.941

1493
01:14:05.549 --> 01:14:06.593

1494
01:14:06.570 --> 01:14:06.787

1495
01:14:06.826 --> 01:14:08.347

1496
01:14:08.358 --> 01:14:09.096

1497
01:14:09.259 --> 01:14:09.793

1498
01:14:10.277 --> 01:14:10.558

1499
01:14:10.727 --> 01:14:10.933

1500
01:14:11.178 --> 01:14:11.402

1501
01:14:11.427 --> 01:14:11.648

1502
01:14:12.328 --> 01:14:12.741

1503
01:14:12.719 --> 01:14:13.068

1504
01:14:13.228 --> 01:14:18.053
uh hello good afternoon everyone and thank you

1505
01:14:17.971 --> 01:14:18.195

1506
01:14:18.288 --> 01:14:20.994
uh your presentation is very great

1507
01:14:20.989 --> 01:14:25.213
and uh I know especially me I have learned a lot

1508
01:14:25.339 --> 01:14:27.722
from your presentation so thank you so much

1509
01:14:28.292 --> 01:14:29.842
uh

1510
01:14:34.371 --> 01:14:37.620
how often do you assess a child with EVD

1511
01:14:37.771 --> 01:14:42.273
the learning challenges in the schools or any issues how often do you

1512
01:14:42.122 --> 01:14:42.467

1513
01:14:42.507 --> 01:14:45.336
as students when you talk about assessment

1514
01:14:45.127 --> 01:14:49.405
we will usually do in in Bhutan like us we do assessment

1515
01:14:49.227 --> 01:14:49.597

1516
01:14:49.547 --> 01:14:52.739
2 types of this is men 1 is a clinical assessment

1517
01:14:52.627 --> 01:14:53.527
1 is

1518
01:14:53.470 --> 01:14:55.253
functionality assessment

1519
01:14:55.190 --> 01:14:57.967
so how how often do you do

1520
01:14:57.948 --> 01:15:03.195
the clinical assessment and how often do you do the functionality assessment of the child

1521
01:15:03.139 --> 01:15:03.734

1522
01:15:03.647 --> 01:15:05.595
EVT this is 1 question

1523
01:15:05.628 --> 01:15:06.165

1524
01:15:06.147 --> 01:15:10.297
and uh the the second question is the parents

1525
01:15:10.509 --> 01:15:11.833
I can't give

1526
01:15:11.716 --> 01:15:14.377
the families and the teachers are so important

1527
01:15:14.278 --> 01:15:14.488

1528
01:15:14.469 --> 01:15:14.694

1529
01:15:15.178 --> 01:15:19.055
uh if you really wanted to see children Guru and learn

1530
01:15:19.409 --> 01:15:24.806
very important is these are the important stakeholders and how often do you

1531
01:15:25.167 --> 01:15:28.793
actually build the capacity of these stakeholders

1532
01:15:28.759 --> 01:15:30.329
for the better life of the children

1533
01:15:30.429 --> 01:15:31.076
thank you

1534
01:15:31.509 --> 01:15:32.629

1535
01:15:32.668 --> 01:15:32.890

1536
01:15:32.791 --> 01:15:38.521
thank you very much it it's probably the first time I'm interacting with

1537
01:15:38.428 --> 01:15:39.981
professional from Bhutan

1538
01:15:39.841 --> 01:15:45.865
so lovely lovely experience today okay the first 1 is how often the assessment

1539
01:15:45.478 --> 01:15:46.001

1540
01:15:46.310 --> 01:15:50.031
buy right if the child is managed by

1541
01:15:49.959 --> 01:15:51.850
an EV therapist

1542
01:15:51.889 --> 01:15:57.209
it should be every 6 months at least so the same with what you mentioned

1543
01:15:57.710 --> 01:16:01.857
however usually when the child goes to school

1544
01:16:01.948 --> 01:16:07.705
their relationship with avt their avt therapist becomes a lot more

1545
01:16:07.586 --> 01:16:08.052

1546
01:16:08.029 --> 01:16:13.324
because the child is now under the um

1547
01:16:13.218 --> 01:16:15.773
responsibility of the school

1548
01:16:16.111 --> 01:16:18.945
so schools

1549
01:16:18.917 --> 01:16:20.655
from where I come from

1550
01:16:20.588 --> 01:16:26.413
the teachers are not equipped with the terms of time resources or skills to do language

1551
01:16:26.418 --> 01:16:27.393
investment

1552
01:16:27.762 --> 01:16:28.228

1553
01:16:28.354 --> 01:16:31.832
so usually the language assessment will come in

1554
01:16:31.730 --> 01:16:36.608
when the teachers feel that the child needs to be relocated

1555
01:16:36.788 --> 01:16:39.393
from mainstream to special ed

1556
01:16:39.609 --> 01:16:45.427
so in order to justify the request the teacher will reach out to the therapist

1557
01:16:45.567 --> 01:16:46.535
and ask

1558
01:16:46.529 --> 01:16:47.767
for assessment

1559
01:16:48.198 --> 01:16:52.133
so although by right even during school years they need

1560
01:16:52.168 --> 01:16:53.785
regular assessment

1561
01:16:54.031 --> 01:16:55.513
in practice

1562
01:16:55.431 --> 01:16:56.913
that doesn't happen

1563
01:16:57.621 --> 01:17:00.707
okay the other question

1564
01:17:01.067 --> 01:17:06.715
is about family involvement parents involvement and how do we force

1565
01:17:06.387 --> 01:17:07.931
this is this what the

1566
01:17:07.667 --> 01:17:08.530
question is

1567
01:17:08.509 --> 01:17:08.723

1568
01:17:08.629 --> 01:17:13.846
this topic is very close to my heart I spend

1569
01:17:14.208 --> 01:17:18.908
about 5 and a half years of my lifestyle doing this for my doctorate

1570
01:17:19.268 --> 01:17:19.524

1571
01:17:19.589 --> 01:17:19.836

1572
01:17:19.781 --> 01:17:20.616
um

1573
01:17:20.800 --> 01:17:21.052

1574
01:17:20.999 --> 01:17:24.927
so what I looked at is how therapists

1575
01:17:24.968 --> 01:17:25.795

1576
01:17:25.737 --> 01:17:26.910
parents

1577
01:17:26.887 --> 01:17:29.018
relate to each other

1578
01:17:29.268 --> 01:17:31.965
what model do they

1579
01:17:31.949 --> 01:17:33.446
operate on

1580
01:17:33.487 --> 01:17:33.716

1581
01:17:33.618 --> 01:17:35.793
and this is Malaysian parents

1582
01:17:35.918 --> 01:17:36.776

1583
01:17:36.818 --> 01:17:42.511
therapist in Malaysia at that time my PhD was between 2000

1584
01:17:42.268 --> 01:17:47.991
5 to 2010 and you can guess what my age is unless I did my PhD when I was 10 years old

1585
01:17:48.434 --> 01:17:49.950
um

1586
01:17:50.269 --> 01:17:50.485

1587
01:17:50.533 --> 01:17:55.599
therapist in Malaysia who work with families who have with children with hearing loss

1588
01:17:55.658 --> 01:18:01.321
they know they believe working with families is super important it's very crucial

1589
01:18:01.158 --> 01:18:01.515

1590
01:18:01.550 --> 01:18:01.829

1591
01:18:01.869 --> 01:18:05.407
as long as the

1592
01:18:05.200 --> 01:18:10.083
keep their mouth shut and just obey whatever the therapist said

1593
01:18:09.938 --> 01:18:10.209

1594
01:18:11.419 --> 01:18:11.695

1595
01:18:11.608 --> 01:18:11.980

1596
01:18:11.929 --> 01:18:15.340
if you have good therapy if the good Knowledge and Skills

1597
01:18:16.151 --> 01:18:21.696
maybe that's a good thing but still it's not Democratic at all it's very autocrat

1598
01:18:22.501 --> 01:18:27.944
like what if you have a therapist God forbid who have very poor skills and knowledge

1599
01:18:27.688 --> 01:18:28.116

1600
01:18:28.533 --> 01:18:31.711
and do not like when parents ask questions

1601
01:18:31.850 --> 01:18:35.220
or Heaven forbids these disagree with them

1602
01:18:35.758 --> 01:18:37.042
you don't like it

1603
01:18:37.171 --> 01:18:40.494
so it's not really family centered

1604
01:18:40.428 --> 01:18:40.678

1605
01:18:41.328 --> 01:18:46.841
they they treat the family as important but as long as

1606
01:18:46.779 --> 01:18:48.562
they listen to the tarp

1607
01:18:48.248 --> 01:18:48.903

1608
01:18:49.271 --> 01:18:55.287
so my career Mission and also life mission if you like

1609
01:18:55.751 --> 01:18:58.361
is to change

1610
01:18:58.442 --> 01:18:59.599
paradigm

1611
01:18:59.471 --> 01:18:59.705

1612
01:18:59.589 --> 01:19:05.935
to shift this Paradigm among professionals when they start working with family

1613
01:19:05.870 --> 01:19:07.556
understand that

1614
01:19:07.727 --> 01:19:10.559
we as the professionals are trained

1615
01:19:10.422 --> 01:19:11.658
how many

1616
01:19:11.627 --> 01:19:17.182
several years that you are trained 4 years in bachelor's degree probably and then you

1617
01:19:17.077 --> 01:19:19.588
go on into specialization

1618
01:19:19.899 --> 01:19:24.338
to be an expert in your speech and language and hearing

1619
01:19:24.509 --> 01:19:31.199
and you come and meet the parents who is the expert in their child in their family

1620
01:19:31.039 --> 01:19:33.564
India strength in their needs

1621
01:19:34.698 --> 01:19:40.258
the family did not study for 4 5 6 7 years to become a parent

1622
01:19:40.198 --> 01:19:42.735
an expert of a child with hearing loss

1623
01:19:42.709 --> 01:19:46.315
this is not a journey that they have chosen

1624
01:19:46.349 --> 01:19:51.704
you can certainly hear my advice goes my voice goes up because when I talk about this I cannot help

1625
01:19:51.548 --> 01:19:54.167
but be very passionate about it

1626
01:19:54.870 --> 01:20:00.177
parents did not choose to be to be a parent of a child with hearing loss we

1627
01:20:00.709 --> 01:20:02.913
shows our profession

1628
01:20:03.328 --> 01:20:03.551

1629
01:20:03.590 --> 01:20:09.233
be kind and considerate especially at the entry

1630
01:20:08.967 --> 01:20:11.046
point of their Journey

1631
01:20:10.949 --> 01:20:12.687
during diagnosis

1632
01:20:12.617 --> 01:20:12.832

1633
01:20:12.809 --> 01:20:15.080
many of the teachers here

1634
01:20:15.439 --> 01:20:21.984
you've seen the child and the family after so many years of their Journey

1635
01:20:21.717 --> 01:20:23.428
in hearing loss

1636
01:20:24.029 --> 01:20:29.778
we do not know that some parents are still grieving at the fact that

1637
01:20:29.790 --> 01:20:34.959
child cannot hear I do not want a child who is deaf

1638
01:20:34.847 --> 01:20:35.067

1639
01:20:36.069 --> 01:20:36.335

1640
01:20:36.898 --> 01:20:42.373
because for many reasons some parents they have gone through this grieving Journey with

1641
01:20:42.729 --> 01:20:45.134
the help from their professionals

1642
01:20:44.967 --> 01:20:45.204

1643
01:20:45.289 --> 01:20:48.737
because this happens in any country

1644
01:20:48.817 --> 01:20:52.519
audiologist only see the device and only see the ear

1645
01:20:52.588 --> 01:20:58.693
our ENT only see the pathology of the ear and then put implant and close the head and that's

1646
01:20:58.487 --> 01:20:59.135

1647
01:20:59.068 --> 01:21:05.268
therapies on the do the speech and language and communication we work in silos we don't

1648
01:21:05.030 --> 01:21:09.093
talk to each other and the child have this fragments

1649
01:21:08.987 --> 01:21:10.923
I suppose it help

1650
01:21:10.859 --> 01:21:12.706
and who helped the parents

1651
01:21:13.348 --> 01:21:14.576
nobody

1652
01:21:16.037 --> 01:21:16.900

1653
01:21:16.868 --> 01:21:19.466
we need this paradigm shift

1654
01:21:19.379 --> 01:21:24.732
especially those who meet with the family right at day 1

1655
01:21:24.629 --> 01:21:29.228
in the beginning of their Journey the day they get the diagnosis

1656
01:21:29.558 --> 01:21:32.702
where working with the family

1657
01:21:32.630 --> 01:21:38.076
starts if you want to talk me to talk about this I can talk about it for 1 month

1658
01:21:37.949 --> 01:21:39.034
every

1659
01:21:39.299 --> 01:21:41.368
and it still doesn't end

1660
01:21:41.408 --> 01:21:43.758
I hope I have answered your question

1661
01:21:44.431 --> 01:21:45.838

1662
01:21:49.667 --> 01:21:52.343
in my head because I'm a parent

1663
01:21:52.559 --> 01:21:56.561
and nobody came to me at that time so that was ages ago

1664
01:21:56.588 --> 01:22:01.503
so thank you for bringing that into light and I see a lot of professionals here I was talking to Dr deed

1665
01:22:01.717 --> 01:22:06.902
who is help is helping people who are blind in provinces

1666
01:22:06.518 --> 01:22:10.196
but after he goes who's going to help them further so I think this

1667
01:22:10.238 --> 01:22:17.279
seeing professionals wanting to help parents have a sense of relief so thank you from the bottom of our hearts

1668
01:22:16.968 --> 01:22:21.451
to all the professionals here who want to make a change thank you so much

1669
01:22:24.399 --> 01:22:28.650
Dr basa can you please come down because uh Dr maliwan

1670
01:22:28.429 --> 01:22:30.770
as something new she wants to give you

1671
01:22:31.058 --> 01:22:31.302

1672
01:22:31.308 --> 01:22:31.748

1673
01:22:31.438 --> 01:22:33.150
Dr money 1 please

1674
01:22:33.107 --> 01:22:33.367

1675
01:22:33.308 --> 01:22:33.510

1676
01:22:33.559 --> 01:22:33.821

1677
01:22:33.749 --> 01:22:34.104

1678
01:22:34.070 --> 01:22:35.483

1679
01:22:35.419 --> 01:22:37.823
oh sorry

1680
01:22:37.659 --> 01:22:39.683
oh sorry there's another question

1681
01:22:39.579 --> 01:22:39.994

1682
01:22:39.769 --> 01:22:40.209

1683
01:22:41.309 --> 01:22:42.996

1684
01:22:42.977 --> 01:22:43.521

1685
01:22:43.488 --> 01:22:44.331

1686
01:22:44.258 --> 01:22:44.469

1687
01:22:44.451 --> 01:22:46.050

1688
01:22:49.900 --> 01:22:50.896
I

1689
01:22:50.919 --> 01:22:51.143

1690
01:22:51.108 --> 01:22:51.601

1691
01:22:51.627 --> 01:22:52.938
hearing

1692
01:22:52.778 --> 01:22:53.881
ability

1693
01:22:53.927 --> 01:22:54.592

1694
01:22:54.627 --> 01:22:55.484
then

1695
01:22:57.330 --> 01:22:57.551

1696
01:22:58.288 --> 01:22:58.699

1697
01:22:58.814 --> 01:22:59.043

1698
01:22:59.188 --> 01:22:59.432

1699
01:22:59.438 --> 01:22:59.701

1700
01:22:59.828 --> 01:23:02.655

1701
01:23:02.828 --> 01:23:06.324
so it was taken to a hospital

1702
01:23:06.358 --> 01:23:08.433
and the doctor said that that

1703
01:23:08.352 --> 01:23:11.555
the cock clear is broken was broken

1704
01:23:14.370 --> 01:23:15.012

1705
01:23:14.949 --> 01:23:16.381
if you're interested

1706
01:23:16.608 --> 01:23:16.982

1707
01:23:16.988 --> 01:23:20.345
you can have cocoa implants I would like to

1708
01:23:20.324 --> 01:23:21.741
but my

1709
01:23:21.670 --> 01:23:22.659
family

1710
01:23:22.701 --> 01:23:23.871
did not want to

1711
01:23:23.978 --> 01:23:24.326

1712
01:23:24.170 --> 01:23:29.299
up until now my family doesn't accept that

1713
01:23:29.289 --> 01:23:29.632

1714
01:23:29.608 --> 01:23:32.091
so so I use a hearing aid

1715
01:23:32.178 --> 01:23:34.688
and and also speech therapy

1716
01:23:34.989 --> 01:23:36.255
now

1717
01:23:36.208 --> 01:23:36.426

1718
01:23:36.400 --> 01:23:38.505
I still use the hearing aids

1719
01:23:38.708 --> 01:23:41.446
I just want to share my experience

1720
01:23:41.398 --> 01:23:42.783
uh to the speaker

1721
01:23:42.747 --> 01:23:42.951

1722
01:23:43.070 --> 01:23:43.489

1723
01:23:43.324 --> 01:23:43.795

1724
01:23:43.771 --> 01:23:43.979

1725
01:23:44.922 --> 01:23:46.100

1726
01:23:46.328 --> 01:23:46.624

1727
01:23:46.589 --> 01:23:47.637

1728
01:23:48.072 --> 01:23:48.315

1729
01:23:48.258 --> 01:23:48.536

1730
01:23:48.709 --> 01:23:48.981

1731
01:23:49.027 --> 01:23:49.246

1732
01:23:49.277 --> 01:23:49.632

1733
01:23:49.672 --> 01:23:49.878

1734
01:23:49.857 --> 01:23:50.079

1735
01:23:50.047 --> 01:23:50.310

1736
01:23:50.179 --> 01:23:50.382

1737
01:23:50.371 --> 01:23:51.226

1738
01:23:51.330 --> 01:23:51.604

1739
01:23:51.589 --> 01:23:52.694

1740
01:23:52.871 --> 01:23:56.123
the app has started hearing loss

1741
01:23:56.139 --> 01:23:58.782
uh he went to see uh

1742
01:23:58.571 --> 01:23:58.788

1743
01:23:58.905 --> 01:24:01.406
doctor and the doctor said

1744
01:24:01.390 --> 01:24:05.200
yeah if you want the cooking plan then it can be done

1745
01:24:05.488 --> 01:24:07.923
but during that time uh the

1746
01:24:07.990 --> 01:24:11.496
his family also doesn't want to have their surgery

1747
01:24:11.508 --> 01:24:14.421
and then he decided that he would continue

1748
01:24:14.389 --> 01:24:16.597
uh with the sign language and

1749
01:24:16.758 --> 01:24:20.346
right now he's also wearing the hearing aid

1750
01:24:19.777 --> 01:24:21.913
and he's uh happy about that

1751
01:24:22.529 --> 01:24:23.279
okay

1752
01:24:23.228 --> 01:24:24.663
that just want to share

1753
01:24:25.727 --> 01:24:26.191

1754
01:24:26.177 --> 01:24:26.518

1755
01:24:26.560 --> 01:24:27.222

1756
01:24:27.270 --> 01:24:27.501

1757
01:24:27.469 --> 01:24:27.676

1758
01:24:27.720 --> 01:24:27.972

1759
01:24:27.909 --> 01:24:28.631

1760
01:24:28.619 --> 01:24:28.894

1761
01:24:28.940 --> 01:24:29.355

1762
01:24:29.190 --> 01:24:32.474
if I can just add on to that

1763
01:24:32.708 --> 01:24:32.990

1764
01:24:33.159 --> 01:24:33.951

1765
01:24:34.059 --> 01:24:34.339

1766
01:24:34.440 --> 01:24:37.537
thank you for sharing your journey

1767
01:24:37.709 --> 01:24:43.751
and I am so glad that you continue with another mode

1768
01:24:43.542 --> 01:24:45.163
of communication

1769
01:24:45.077 --> 01:24:45.328

1770
01:24:45.343 --> 01:24:49.461
using sign language is just as good as speaking

1771
01:24:49.427 --> 01:24:49.648

1772
01:24:49.561 --> 01:24:51.968
because you do have the community

1773
01:24:51.997 --> 01:24:56.437
you have the system you have the schools where

1774
01:24:56.417 --> 01:25:00.381
the choice of your communication will support

1775
01:25:00.268 --> 01:25:01.826
the sign language

1776
01:25:02.060 --> 01:25:02.355

1777
01:25:02.378 --> 01:25:03.751
and

1778
01:25:03.717 --> 01:25:06.187
1 thing that we need to remember

1779
01:25:06.220 --> 01:25:08.547
that did we

1780
01:25:08.659 --> 01:25:15.867
manage the management of hearing loss the way that the technology has evolved

1781
01:25:15.568 --> 01:25:15.781

1782
01:25:15.760 --> 01:25:17.513
it's very different

1783
01:25:18.068 --> 01:25:23.288
compared to 20 years ago 15 years ago even 5 years ago

1784
01:25:23.318 --> 01:25:25.913
what happened when I started working

1785
01:25:25.888 --> 01:25:26.102

1786
01:25:26.079 --> 01:25:26.331

1787
01:25:26.340 --> 01:25:29.382
is very different compared to now

1788
01:25:29.669 --> 01:25:31.678
I have worked for nearly

1789
01:25:31.588 --> 01:25:33.727
for 24 years actually

1790
01:25:33.637 --> 01:25:34.439

1791
01:25:34.467 --> 01:25:35.984
so

1792
01:25:36.648 --> 01:25:42.133
probably if your story of sudden hearing loss happen in

1793
01:25:42.029 --> 01:25:43.687
2025

1794
01:25:44.268 --> 01:25:47.184
the journey might have been very different

1795
01:25:47.087 --> 01:25:47.311

1796
01:25:47.469 --> 01:25:47.664

1797
01:25:47.860 --> 01:25:48.088

1798
01:25:48.429 --> 01:25:53.949
when this happened 10 years ago or 15 years ago I don't know how long ago your sudden

1799
01:25:54.012 --> 01:25:55.294
hearing loss happen

1800
01:25:55.162 --> 01:25:55.406

1801
01:25:55.988 --> 01:25:58.031
the management was quite different

1802
01:25:58.237 --> 01:25:58.431

1803
01:25:58.498 --> 01:26:02.951
and this again different depending on where we are

1804
01:26:03.110 --> 01:26:05.182
Bangkok management

1805
01:26:05.089 --> 01:26:08.068
will be quite different from say

1806
01:26:09.012 --> 01:26:14.969
why I don't know I'm I'm just trying to draw a comparison see with Malaysia

1807
01:26:14.709 --> 01:26:20.674
which is the capital city management will be very different compared to

1808
01:26:21.109 --> 01:26:24.047
uh Village in Bono

1809
01:26:24.832 --> 01:26:25.170

1810
01:26:25.268 --> 01:26:28.431
so all this depends where you are

1811
01:26:28.350 --> 01:26:30.617
when this happens

1812
01:26:30.530 --> 01:26:33.499
whether there is a system to manage

1813
01:26:33.407 --> 01:26:36.105
sometimes it's just a stroke of luck

1814
01:26:36.287 --> 01:26:40.226
but again I have a lot of respect

1815
01:26:40.199 --> 01:26:42.131
and a lot of um

1816
01:26:42.439 --> 01:26:42.864

1817
01:26:42.757 --> 01:26:46.213
um

1818
01:26:43.983 --> 01:26:48.754
admiration for you and the journey that you've gone through thank you for sharing

1819
01:26:49.245 --> 01:26:49.453

1820
01:26:49.487 --> 01:26:52.331

1821
01:26:52.500 --> 01:26:55.405

1822
01:26:55.707 --> 01:26:58.800

1823
01:26:59.365 --> 01:27:00.660
so I like

1824
01:27:00.569 --> 01:27:03.100
share my experience

1825
01:27:05.759 --> 01:27:06.166

1826
01:27:06.208 --> 01:27:06.487

1827
01:27:06.719 --> 01:27:11.941
oh my experience from my school

1828
01:27:12.359 --> 01:27:15.267
after I have a implant called clear

1829
01:27:15.238 --> 01:27:15.642

1830
01:27:15.627 --> 01:27:15.864

1831
01:27:15.819 --> 01:27:17.783
calculate implant I like to

1832
01:27:17.670 --> 01:27:19.064
to be mainstream

1833
01:27:18.887 --> 01:27:20.969
that is a waste of opportunity

1834
01:27:21.069 --> 01:27:23.690
but you still study in the

1835
01:27:23.570 --> 01:27:24.905
uh

1836
01:27:24.788 --> 01:27:24.995

1837
01:27:25.358 --> 01:27:25.635

1838
01:27:25.751 --> 01:27:27.245

1839
01:27:27.409 --> 01:27:29.435
special school with the deaf people

1840
01:27:29.338 --> 01:27:29.527

1841
01:27:29.473 --> 01:27:30.277

1842
01:27:30.228 --> 01:27:31.152

1843
01:27:31.187 --> 01:27:33.527

1844
01:27:33.502 --> 01:27:33.735

1845
01:27:33.628 --> 01:27:35.795
be put in the mainstream

1846
01:27:35.738 --> 01:27:41.628
rather than going to the side language school in order to develop uh

1847
01:27:41.377 --> 01:27:42.775
and spoken language

1848
01:27:42.977 --> 01:27:43.316

1849
01:27:43.303 --> 01:27:43.950

1850
01:27:43.938 --> 01:27:44.704
but he's

1851
01:27:45.353 --> 01:27:45.609

1852
01:27:45.869 --> 01:27:49.694
thank you for that I agree

1853
01:27:49.769 --> 01:27:55.492
and I'd like to also draw the attention if you can remember now I'm testing who among you

1854
01:27:55.152 --> 01:28:00.924
paid attention to my talk just now the Continuum of communication

1855
01:28:01.878 --> 01:28:03.504
whether the child

1856
01:28:03.608 --> 01:28:05.354
fully visual

1857
01:28:05.270 --> 01:28:05.528

1858
01:28:05.471 --> 01:28:08.701
or the child is fully auditory

1859
01:28:09.072 --> 01:28:09.395

1860
01:28:09.378 --> 01:28:12.543
sometimes we give cock implant

1861
01:28:12.389 --> 01:28:16.703
but we give clay implant when the child is already 5 and a half years old

1862
01:28:17.071 --> 01:28:21.070
there's only 1 and a half years before the child started school

1863
01:28:21.347 --> 01:28:26.843
we want the child to enter mainstream school with language level

1864
01:28:26.798 --> 01:28:31.113
that is adequate to survive and thrive

1865
01:28:31.027 --> 01:28:33.559
in mainstream School

1866
01:28:33.009 --> 01:28:39.854
If the child starts implant only starts hearing only start speaking at 5 and a half

1867
01:28:40.628 --> 01:28:44.618
what do you think will be the child language age at 7

1868
01:28:44.741 --> 01:28:45.119

1869
01:28:45.058 --> 01:28:45.279

1870
01:28:45.569 --> 01:28:51.362
If the child comes to see me this is probably a bragging point I'm sorry I probably can

1871
01:28:51.148 --> 01:28:57.678
try to get the child to get at least 2 years of language within 1 and a half

1872
01:28:57.486 --> 01:28:59.044
yes in calendar

1873
01:28:59.107 --> 01:28:59.506

1874
01:28:59.598 --> 01:29:00.842
am I making sense

1875
01:29:00.749 --> 01:29:06.327
so it's not just 1 year calendar 1 year progress uh uh we need to speak

1876
01:29:06.267 --> 01:29:11.503
up if we are driving any of you remember driving in a manual car

1877
01:29:11.898 --> 01:29:14.368
we need to go to

1878
01:29:14.528 --> 01:29:15.493
6

1879
01:29:16.391 --> 01:29:20.125
6 we need to go fast

1880
01:29:20.868 --> 01:29:22.042
then

1881
01:29:22.018 --> 01:29:27.401
even if as fast as I can do 1 and a half years I can only do probably

1882
01:29:27.718 --> 01:29:29.918
2 years of language

1883
01:29:30.029 --> 01:29:31.902
from zero language

1884
01:29:31.892 --> 01:29:37.175
so this child will enter school with language age of 2

1885
01:29:37.518 --> 01:29:42.005
be among friends with language age and hearing

1886
01:29:42.139 --> 01:29:44.719
of 7 years old

1887
01:29:45.529 --> 01:29:48.051
do we want to put this child

1888
01:29:48.161 --> 01:29:51.531
with 2 years old of language with 7 years old

1889
01:29:51.941 --> 01:29:54.694
do you think this child will

1890
01:29:54.879 --> 01:29:56.104
thrive

1891
01:29:55.981 --> 01:29:58.503
survive mainstream education

1892
01:29:58.538 --> 01:29:58.793

1893
01:29:59.048 --> 01:29:59.835
no

1894
01:30:00.269 --> 01:30:00.484

1895
01:30:00.521 --> 01:30:05.433
so that depends on principle yes I agree

1896
01:30:05.656 --> 01:30:10.391
that is what I would fight for but that depends

1897
01:30:11.088 --> 01:30:11.334

1898
01:30:11.798 --> 01:30:17.013
thank you very much thank you Richard Dr basa thank you for all your questions

1899
01:30:17.050 --> 01:30:19.365

1900
01:30:21.414 --> 01:30:21.672

1901
01:30:21.859 --> 01:30:22.102

1902
01:30:22.498 --> 01:30:22.719

1903
01:30:23.012 --> 01:30:23.284

1904
01:30:23.388 --> 01:30:24.115

1905
01:30:24.480 --> 01:30:24.821

1906
01:30:25.250 --> 01:30:25.596

1907
01:30:25.568 --> 01:30:25.919

1908
01:30:25.948 --> 01:30:27.175

1909
01:30:28.131 --> 01:30:28.538

1910
01:30:28.268 --> 01:30:28.610

1911
01:30:28.838 --> 01:30:29.067

1912
01:30:29.098 --> 01:30:29.327

1913
01:30:29.306 --> 01:30:29.552

1914
01:30:29.418 --> 01:30:29.883

1915
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1939
01:30:52.280 --> 01:30:53.936
sections is

1940
01:30:53.889 --> 01:30:56.462
deferred paper speaker

1941
01:30:56.579 --> 01:30:58.218
of

1942
01:30:58.310 --> 01:30:58.558

1943
01:30:58.561 --> 01:31:04.009
the person today and uh ladies and Gentlemen please tell me you're welcome

1944
01:31:04.388 --> 01:31:04.856

1945
01:31:04.781 --> 01:31:06.406
paper speaker

1946
01:31:06.310 --> 01:31:07.661
um

1947
01:31:07.788 --> 01:31:12.496
Dr John shervin Dean for the Philippines

1948
01:31:12.657 --> 01:31:14.225
he's going to

1949
01:31:14.319 --> 01:31:20.062
uh printed about uh the leveraging technology for Low Vision

1950
01:31:20.351 --> 01:31:21.697
we have

1951
01:31:21.631 --> 01:31:23.073
he likes

1952
01:31:22.969 --> 01:31:23.612
what

1953
01:31:23.480 --> 01:31:25.340
um we have

1954
01:31:25.149 --> 01:31:25.868

1955
01:31:26.049 --> 01:31:31.586
limitation I'm sorry and life skill developments in resource Limited

1956
01:31:32.508 --> 01:31:34.483
setting welcome

1957
01:31:35.588 --> 01:31:38.825

1958
01:31:39.898 --> 01:31:40.181

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1960
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1963
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1980
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1981
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1982
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1983
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1984
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1985
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1986
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1988
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1989
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1990
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1991
01:32:00.508 --> 01:32:01.235

1992
01:32:01.280 --> 01:32:01.474

1993
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1994
01:32:02.427 --> 01:32:08.024
um good afternoon everyone thank you for joining us today at the ninth

1995
01:32:07.688 --> 01:32:10.593
National Symposium on special education

1996
01:32:10.952 --> 01:32:15.423
I'm Dr John Dean um optometrist and founder of

1997
01:32:15.308 --> 01:32:17.800
JD in gisha care in the Philippines

1998
01:32:17.621 --> 01:32:17.974

1999
01:32:18.000 --> 01:32:22.669
today I will be discussing leveraging technology for Low Vision

2000
01:32:22.803 --> 01:32:27.469
Rehabilitation and life skills development in resource limited settings

2001
01:32:28.121 --> 01:32:28.337

2002
01:32:28.308 --> 01:32:28.654

2003
01:32:29.020 --> 01:32:33.469
before we delve into the details uh we want to be fully transparent

2004
01:32:33.698 --> 01:32:37.067
JD visual care has no financial interest

2005
01:32:37.028 --> 01:32:39.203
in or affiliation

2006
01:32:39.201 --> 01:32:42.183
with any of the specific app Developers

2007
01:32:42.149 --> 01:32:45.193
or Brands mentioned in this presentation

2008
01:32:45.672 --> 01:32:50.904
these Technologies are highlighted solely based on their General availability

2009
01:32:51.121 --> 01:32:53.448
their accessibility features

2010
01:32:53.359 --> 01:32:57.923
and their observed utility in our low vision Rehabilitation practice

2011
01:32:58.231 --> 01:33:01.522
our aim is purely educational and

2012
01:33:01.500 --> 01:33:02.528
informational

2013
01:33:03.929 --> 01:33:09.252
so let's start by acknowledging the immense Global challenge we face

2014
01:33:10.034 --> 01:33:15.377
over 2.2 billion people worldwide live with some form of vision impairment

2015
01:33:16.429 --> 01:33:21.283
disturbingly at the least 1 billion of these cases are either preventable

2016
01:33:21.620 --> 01:33:24.722
or remain unaddressed so that's still a big number

2017
01:33:24.823 --> 01:33:25.221

2018
01:33:25.649 --> 01:33:30.977
this burden this proportionately affects children in resource limited settings where

2019
01:33:31.099 --> 01:33:33.267
access to care is scarce

2020
01:33:33.979 --> 01:33:39.428
personally we had this experience in the Philippines we visit different provinces and we go

2021
01:33:39.298 --> 01:33:40.072

2022
01:33:40.393 --> 01:33:43.668
places wherein they never had eye exams

2023
01:33:43.778 --> 01:33:49.149
we had a case wherein uh a person's like 75 80 years old never had an eye exam

2024
01:33:49.562 --> 01:33:51.057
ever in his life

2025
01:33:51.148 --> 01:33:53.548
so it's across all ages

2026
01:33:54.550 --> 01:33:56.736
the impact is profound

2027
01:33:56.792 --> 01:34:02.277
we see significant educational delays and limited opportunities for these children

2028
01:34:02.868 --> 01:34:05.539
they often experience social isolation

2029
01:34:05.691 --> 01:34:07.526
reduced Independence

2030
01:34:07.800 --> 01:34:11.534
and the severe lack of access to traditional specialized

2031
01:34:11.518 --> 01:34:14.416
services and costly assisted devices

2032
01:34:14.718 --> 01:34:17.520
by assisted devices I mean the traditional

2033
01:34:17.544 --> 01:34:20.543
low vision devices the magnifiers and other

2034
01:34:20.747 --> 01:34:21.668
sort of stuff

2035
01:34:22.410 --> 01:34:22.885

2036
01:34:23.047 --> 01:34:28.298
recognizing these barriers our study at JD and visual care is focused on ident

2037
01:34:28.369 --> 01:34:29.136

2038
01:34:29.138 --> 01:34:30.661
an accessible solution

2039
01:34:30.930 --> 01:34:36.256
our objective is to demonstrate how readily available and affordable

2040
01:34:36.190 --> 01:34:37.030
ology

2041
01:34:37.080 --> 01:34:42.561
can Empower children and adolescents with low vision in these challenging

2042
01:34:42.469 --> 01:34:43.484
environments

2043
01:34:43.229 --> 01:34:43.481

2044
01:34:44.130 --> 01:34:46.567
to give you my experience

2045
01:34:46.499 --> 01:34:47.331
um

2046
01:34:47.390 --> 01:34:52.224
whenever we do the low vision assessment we explain the management plan to

2047
01:34:52.137 --> 01:34:54.612
the the parents the families

2048
01:34:54.629 --> 01:35:00.138
and then to the point wherein we say this is the best solution um your child needs

2049
01:35:00.080 --> 01:35:01.270
that expensive

2050
01:35:01.298 --> 01:35:06.613
uh digital magnifier the the answer will always be it's too expensive

2051
01:35:06.610 --> 01:35:07.866
we cannot afford

2052
01:35:08.030 --> 01:35:08.927
so

2053
01:35:08.918 --> 01:35:10.718
as a practitioner

2054
01:35:10.713 --> 01:35:13.544
it it is a burden with that we need to uh

2055
01:35:13.468 --> 01:35:16.072
need to always carry so we have to find some way

2056
01:35:16.030 --> 01:35:17.931
like you know to help these people

2057
01:35:17.949 --> 01:35:23.122
our core approach involves leveraging existing smartphones

2058
01:35:23.200 --> 01:35:28.631
and simple do-it-yourself or DIY adaptations for Effective Rehabilitation

2059
01:35:31.222 --> 01:35:36.645
and vital life skills development this this approach directly addresses and the challenges

2060
01:35:36.788 --> 01:35:42.083
specific to Resource constrained areas aiming for interventions that are both scalable and

2061
01:35:42.230 --> 01:35:48.298
sustainable so smartphones are you know very widely used nowadays uh we had patients

2062
01:35:48.132 --> 01:35:49.819
been using smartphones

2063
01:35:49.731 --> 01:35:53.380
but not to a point that they can maximize the feature so

2064
01:35:53.508 --> 01:35:56.221
that gave us an idea hey that's maximized that

2065
01:35:57.233 --> 01:36:01.061
let's look at how these affordable Technologies translate into action

2066
01:36:01.258 --> 01:36:04.031
smartphones are Central to our strategy

2067
01:36:04.070 --> 01:36:04.320

2068
01:36:04.334 --> 01:36:08.275
they are built-in accessibility features like magnification

2069
01:36:08.432 --> 01:36:12.223
screen readers such as voice over in iOS and Apple

2070
01:36:12.469 --> 01:36:14.347
and talk back on Android

2071
01:36:14.588 --> 01:36:16.655
and high contrast modes

2072
01:36:16.569 --> 01:36:16.824

2073
01:36:16.759 --> 01:36:20.780
are incredibly powerful and often underutilized

2074
01:36:21.251 --> 01:36:21.677

2075
01:36:21.949 --> 01:36:26.925
Beyond built-in features dedicated mobile apps offers specialized functions

2076
01:36:27.069 --> 01:36:31.987
if you will go to your app store or uh I don't know Play Store and search

2077
01:36:31.882 --> 01:36:32.369

2078
01:36:32.709 --> 01:36:38.837
low vision apps or or Vision AIDS you will see lots of these apps but uh for for the interest of

2079
01:36:38.608 --> 01:36:41.201
presentation I just featured the the 3 of them

2080
01:36:41.302 --> 01:36:41.554

2081
01:36:41.678 --> 01:36:45.199
seeing AI by Microsoft excels at reading texts

2082
01:36:45.470 --> 01:36:50.132
identifying objects and describing scenes in real time

2083
01:36:50.271 --> 01:36:50.483

2084
01:36:50.652 --> 01:36:53.522
essentially giving a voice to the visual world

2085
01:36:54.308 --> 01:36:57.271
look out by Google offer similar assistance

2086
01:36:57.189 --> 01:37:00.159
with reading and environmental exploration

2087
01:37:00.579 --> 01:37:03.182
making daily tasks more accessible

2088
01:37:03.589 --> 01:37:09.062
and of course be my eyes connects users to a Global Network of cited

2089
01:37:09.104 --> 01:37:11.502
volunteers via live video call

2090
01:37:11.670 --> 01:37:14.120
for real-time visual assistance

2091
01:37:14.028 --> 01:37:18.611
which is invaluable for Unique situations

2092
01:37:18.328 --> 01:37:21.091
so the technology right now is

2093
01:37:21.078 --> 01:37:24.515
very different from what we had like 5 10 years ago

2094
01:37:25.500 --> 01:37:29.395
the the challenge right now is for us to maximize the technology

2095
01:37:29.539 --> 01:37:31.744
these resources to help people

2096
01:37:32.290 --> 01:37:36.821
and I think that's you know the same across the disciplines that we have today

2097
01:37:37.479 --> 01:37:37.763

2098
01:37:37.929 --> 01:37:43.375
Beyond sophisticated apps simple DIY adaptations can make a significant

2099
01:37:43.248 --> 01:37:43.494

2100
01:37:43.441 --> 01:37:43.728

2101
01:37:43.698 --> 01:37:44.108

2102
01:37:44.591 --> 01:37:49.368
a smartphone itself can be a portable digital magnifier

2103
01:37:49.271 --> 01:37:51.460
utilizing its camera zoom

2104
01:37:51.448 --> 01:37:54.556
for close-up viewing of texts or objects

2105
01:37:54.909 --> 01:37:58.269
now with the integration of AI we can do so much more

2106
01:37:58.490 --> 01:38:02.157
not just with the magnification and there are lots of things that we can

2107
01:38:02.078 --> 01:38:02.971
discover

2108
01:38:03.170 --> 01:38:05.924
high contrast textile markers

2109
01:38:06.240 --> 01:38:11.128
easily made from common materials can be applied to appliances or containers

2110
01:38:11.310 --> 01:38:14.400
greatly enhancing Independence in daily living

2111
01:38:14.949 --> 01:38:17.847
and finally simply optimizing lighting

2112
01:38:18.160 --> 01:38:20.763
strategically using natural light

2113
01:38:20.792 --> 01:38:24.446
or affordable lamps can dramatically improve visibility

2114
01:38:24.510 --> 01:38:26.166
various tasks

2115
01:38:26.109 --> 01:38:30.943
and the Philippines we after the assessment um part of the rehabilitation is to help

2116
01:38:31.161 --> 01:38:35.394
um people with the orientation and Mobility training wherein

2117
01:38:35.198 --> 01:38:36.662
we teach them skills

2118
01:38:36.667 --> 01:38:40.918
how to navigate inside the house how to uh cook

2119
01:38:41.099 --> 01:38:46.121
are you seeing these tactile markers um using their other senses to make sure that

2120
01:38:46.030 --> 01:38:47.184
if it is safe

2121
01:38:47.310 --> 01:38:51.141
and their their efficient and effective in working around

2122
01:38:51.150 --> 01:38:52.260
their places

2123
01:38:53.142 --> 01:38:53.348

2124
01:38:53.648 --> 01:38:53.869

2125
01:38:54.868 --> 01:38:55.118

2126
01:38:56.018 --> 01:39:01.422
our work at JD visual care is an observational case series drawing Upon Our

2127
01:39:01.212 --> 01:39:03.408
extensive clinical experiences

2128
01:39:03.391 --> 01:39:03.752

2129
01:39:03.768 --> 01:39:06.400
we focus on a diverse participant

2130
01:39:06.398 --> 01:39:10.791
group children and adults has been very slow vision ethology

2131
01:39:11.068 --> 01:39:12.632
because in low vision

2132
01:39:12.549 --> 01:39:17.835
um we say that they are visually appeared but there are different kinds of visual impairment

2133
01:39:17.667 --> 01:39:22.941
so it's it's always a case-to-case basis we have to make sure that our solution

2134
01:39:23.249 --> 01:39:25.714
it's the specific case of

2135
01:39:25.679 --> 01:39:25.942

2136
01:39:25.938 --> 01:39:27.107
of that person

2137
01:39:27.280 --> 01:39:27.555

2138
01:39:27.918 --> 01:39:31.751
our trading approach is Hands-On directly educating both

2139
01:39:31.769 --> 01:39:34.531
participants and their caregivers

2140
01:39:35.031 --> 01:39:39.447
by caregivers I mean their families uh even the teachers

2141
01:39:39.594 --> 01:39:45.121
because based on our experience after providing these the assessment after giving the uh

2142
01:39:45.218 --> 01:39:45.948

2143
01:39:46.890 --> 01:39:49.605
they need support on a daily basis

2144
01:39:49.768 --> 01:39:53.426
and the people who can provide that would be their families

2145
01:39:53.419 --> 01:39:55.106
would be the teachers

2146
01:39:55.088 --> 01:39:59.421
so we have to make sure that the solution the management is is continuous

2147
01:40:00.928 --> 01:40:06.530
we emphasize community-based models and collaborative strategies to ensure the sustain

2148
01:40:06.431 --> 01:40:07.265

2149
01:40:07.258 --> 01:40:09.135
of these interventions

2150
01:40:09.369 --> 01:40:12.629
our data collection involves careful observational

2151
01:40:12.638 --> 01:40:13.643
notes

2152
01:40:13.670 --> 01:40:16.229
qualitative feedback from families

2153
01:40:16.291 --> 01:40:19.262
and relevant clinical metrics to track progress

2154
01:40:22.074 --> 01:40:28.023
so let's illustrate this with a transformative case uh Maria a 12 year old

2155
01:40:27.757 --> 01:40:30.489
female diagnosed with congenital cataract

2156
01:40:30.640 --> 01:40:34.745
underwent surgery with iol or intraocular lens implantation

2157
01:40:35.000 --> 01:40:35.263

2158
01:40:35.188 --> 01:40:40.670
so for both eyes with cataracts and then they were the the cataracts were removed and

2159
01:40:40.569 --> 01:40:40.774

2160
01:40:40.700 --> 01:40:42.061
replaced with

2161
01:40:41.983 --> 01:40:43.676
the artificial limbs

2162
01:40:43.908 --> 01:40:44.305

2163
01:40:44.034 --> 01:40:44.318

2164
01:40:44.480 --> 01:40:48.423
before our intervention Maria struggled significantly

2165
01:40:48.388 --> 01:40:51.295
she was in a special education class

2166
01:40:51.201 --> 01:40:54.350
unable to catch up with mainstream education so

2167
01:40:54.355 --> 01:40:59.492
even with the the special education class um the teacher reported that

2168
01:40:59.859 --> 01:41:03.630
um she's having difficulty identifying letters and numbers

2169
01:41:03.509 --> 01:41:06.354
and and that's difficult for Maria

2170
01:41:06.320 --> 01:41:10.084
you know to have that confidence in in the class

2171
01:41:10.634 --> 01:41:15.913
despite trying eyeglasses for additional hand magnifiers and large print materials

2172
01:41:16.188 --> 01:41:20.554
she reported persistent reading difficulties and saw no significant Improvement

2173
01:41:20.480 --> 01:41:20.885

2174
01:41:20.928 --> 01:41:21.362

2175
01:41:21.252 --> 01:41:23.084
um just on a side note

2176
01:41:23.302 --> 01:41:28.129
most of the patients that we've handled aside from the visual impairment

2177
01:41:28.171 --> 01:41:29.227
we

2178
01:41:29.189 --> 01:41:33.516
you know we always hear that they are having that confidence issues

2179
01:41:34.003 --> 01:41:39.860
they they they hear that people are talking about them um there there's this barrier

2180
01:41:40.284 --> 01:41:42.646
that they face on a daily basis

2181
01:41:42.709 --> 01:41:48.339
so as I Care Professionals we we have to always remind ourselves that we're not just

2182
01:41:48.221 --> 01:41:49.453
treating the eyes

2183
01:41:49.628 --> 01:41:51.691
we're helping a whole person

2184
01:41:52.828 --> 01:41:53.434

2185
01:41:53.471 --> 01:41:58.760
at her initial visit to JD in visual care Maria had difficulty identifying letters and numbers

2186
01:41:58.859 --> 01:42:03.661
necessitating the use of Leia shapes so instead of letters and numbers we use the shapes

2187
01:42:03.589 --> 01:42:03.817

2188
01:42:03.848 --> 01:42:06.802
make sure that we are we're getting a a credible

2189
01:42:06.798 --> 01:42:07.685
measurement

2190
01:42:07.759 --> 01:42:08.021

2191
01:42:08.208 --> 01:42:08.463

2192
01:42:09.490 --> 01:42:14.893
her near visual Acuity with updated glasses was about 3.2 M at 30 cm

2193
01:42:14.748 --> 01:42:20.123
for reference this is as big as the large print materials for for children's books

2194
01:42:19.989 --> 01:42:20.218

2195
01:42:20.441 --> 01:42:22.706
that's how big it is that's the best

2196
01:42:22.690 --> 01:42:23.592
she can have

2197
01:42:23.647 --> 01:42:23.875

2198
01:42:23.971 --> 01:42:27.281
we introduced her to smartphone based magnification

2199
01:42:27.229 --> 01:42:29.274
um specifically the visor app

2200
01:42:29.148 --> 01:42:29.498

2201
01:42:29.473 --> 01:42:33.428
at that initial assessment here near visual Acuity with the visor app

2202
01:42:33.391 --> 01:42:39.253
was 1.0 M at 30 cm so that's equivalent to a regular size

2203
01:42:39.674 --> 01:42:44.562
text the the printouts that we have in our in our handles right now so that's how big it is

2204
01:42:44.980 --> 01:42:47.234
so initially it is good

2205
01:42:47.159 --> 01:42:50.273
it looks significant really nice

2206
01:42:50.171 --> 01:42:51.450
however

2207
01:42:51.710 --> 01:42:54.101
we have to consider that

2208
01:42:54.200 --> 01:42:56.448
Maria say with other

2209
01:42:56.449 --> 01:43:00.096
person with visual impairment will use their vision of daily basis

2210
01:43:00.174 --> 01:43:01.715
there will be fatigued

2211
01:43:01.698 --> 01:43:06.428
there will be environmental issues elements that we have to anticipate

2212
01:43:06.829 --> 01:43:11.582
so what we did is um we provided a 4-week plan

2213
01:43:12.148 --> 01:43:15.996
so every week the parent would have to

2214
01:43:16.370 --> 01:43:17.866
work together with us

2215
01:43:18.098 --> 01:43:23.462
series of exercises with Maria introducing her with different visual Target

2216
01:43:23.610 --> 01:43:26.194
to make sure that the vision is being stimulated

2217
01:43:27.269 --> 01:43:29.539
so aside from the tool

2218
01:43:29.443 --> 01:43:33.566
we make sure that there's this approach which will help her

2219
01:43:33.543 --> 01:43:33.745

2220
01:43:33.793 --> 01:43:35.591
um build the skills for it

2221
01:43:36.549 --> 01:43:36.774

2222
01:43:36.940 --> 01:43:42.252
just 1 month after implementing the visor app and integrating it into her daily

2223
01:43:42.248 --> 01:43:42.837

2224
01:43:43.210 --> 01:43:45.788
we observe transformative results

2225
01:43:45.968 --> 01:43:49.810
her near visual Acuity with a visor app significantly improved

2226
01:43:49.547 --> 01:43:50.266

2227
01:43:50.206 --> 01:43:53.397
1.0 to 0.8 m

2228
01:43:53.788 --> 01:43:55.977
so for reference

2229
01:43:56.349 --> 01:44:00.899
we started with the target as big as a large print material for children

2230
01:44:01.149 --> 01:44:02.039
very big

2231
01:44:02.498 --> 01:44:07.835
right and then after 1 month she started identifying as small as those telephone

2232
01:44:07.869 --> 01:44:11.137
directories nowadays we don't have them anymore we have the smart folks

2233
01:44:10.888 --> 01:44:11.235

2234
01:44:11.788 --> 01:44:12.275

2235
01:44:13.131 --> 01:44:13.384

2236
01:44:13.262 --> 01:44:17.219
beyond the numbers the qualitative impact was profound

2237
01:44:17.488 --> 01:44:21.102
clinicians observed a significant Improvement in her near vision

2238
01:44:21.589 --> 01:44:26.061
and she became Marley more confident in recognizing letters and numbers

2239
01:44:26.268 --> 01:44:29.718
performing significantly better than her last visit

2240
01:44:30.245 --> 01:44:33.484
uh we also asked the teacher about her

2241
01:44:33.831 --> 01:44:35.766
interaction with the classmates

2242
01:44:35.680 --> 01:44:39.076
so we're happy to hear that she became more confident

2243
01:44:40.243 --> 01:44:45.683
this led to enhanced Independence Maria started catching up with class discussions

2244
01:44:45.549 --> 01:44:48.464
was more confident interacting with peers

2245
01:44:48.750 --> 01:44:52.789
her goal of being included in mainstream education became more realistic

2246
01:44:53.300 --> 01:44:55.276
so 1 month is

2247
01:44:55.409 --> 01:44:56.444
not enough

2248
01:44:56.750 --> 01:45:00.250
it's not enough it it it's a continuous process

2249
01:45:00.363 --> 01:45:00.604

2250
01:45:00.600 --> 01:45:03.642
so we have to make sure that we are there to support

2251
01:45:03.740 --> 01:45:04.732
um

2252
01:45:04.700 --> 01:45:06.616
uh the people who needs our help

2253
01:45:07.839 --> 01:45:13.104
so in conclusion our study highlights affordable technology offers

2254
01:45:13.281 --> 01:45:14.975
highly promising and scalable

2255
01:45:14.832 --> 01:45:16.881
approach for Low Vision Rehabilitation

2256
01:45:17.000 --> 01:45:20.860
and life skills development particularly in resource limited settings

2257
01:45:20.782 --> 01:45:21.185

2258
01:45:20.908 --> 01:45:21.111

2259
01:45:21.158 --> 01:45:25.818
we offer key uh 3 key recommendations for impact first

2260
01:45:25.780 --> 01:45:27.848
for the Educators and practitioners

2261
01:45:27.759 --> 01:45:27.940

2262
01:45:28.079 --> 01:45:30.557
integrate these accessible Technologies

2263
01:45:30.588 --> 01:45:32.601
into your practice and curriculum

2264
01:45:32.510 --> 01:45:32.981

2265
01:45:32.954 --> 01:45:35.553
for the organizations and policy makers

2266
01:45:35.579 --> 01:45:38.023
invest in Awareness campaigns

2267
01:45:38.138 --> 01:45:42.986
accessible digital literacy programs to support broader adoption

2268
01:45:43.139 --> 01:45:45.909
and of course for Community engagement

2269
01:45:46.021 --> 01:45:46.273

2270
01:45:46.402 --> 01:45:51.753
Foster strong local Partnerships I think this is 1 of the key ingredients really

2271
01:45:52.109 --> 01:45:55.072
and training initiatives for sustainable impact

2272
01:45:55.570 --> 01:45:55.809

2273
01:45:55.828 --> 01:46:01.336
empowering individuals with low vision to unlock their full potential is a

2274
01:46:01.070 --> 01:46:02.887
shared responsibility

2275
01:46:02.870 --> 01:46:05.353
leading to more inclusive features

2276
01:46:06.840 --> 01:46:12.140
thank you for your attention and we are committed to fostering Clarity and comfort for those with low vision

2277
01:46:12.552 --> 01:46:14.942
welcome any questions you may have thank you once again

2278
01:46:15.300 --> 01:46:15.571

2279
01:46:15.428 --> 01:46:20.529
thank you Dr Dean um

2280
01:46:20.621 --> 01:46:22.817
just uh please don't stop

2281
01:46:23.052 --> 01:46:25.439
with your passion keep going on

2282
01:46:25.479 --> 01:46:27.183
a lot of kids need you

2283
01:46:27.079 --> 01:46:30.081
please continue with your passion thank you so very much

2284
01:46:29.971 --> 01:46:30.316

2285
01:46:30.291 --> 01:46:30.591

2286
01:46:30.549 --> 01:46:33.822

2287
01:46:34.129 --> 01:46:34.347

2288
01:46:34.709 --> 01:46:34.945

2289
01:46:35.408 --> 01:46:36.468
our next

2290
01:46:36.379 --> 01:46:40.260
speaker is uh Mr nugan Tran

2291
01:46:40.089 --> 01:46:43.720
from the National Institute of Education Sciences in Vietnam

2292
01:46:43.739 --> 01:46:46.952
let's give him a round of applause thank you very much

2293
01:46:47.270 --> 01:46:47.794

2294
01:46:47.780 --> 01:46:48.241

2295
01:46:48.479 --> 01:46:49.329

2296
01:46:49.698 --> 01:46:50.167

2297
01:46:50.341 --> 01:46:50.552

2298
01:46:51.040 --> 01:46:51.263

2299
01:46:52.072 --> 01:46:52.340

2300
01:46:52.839 --> 01:46:53.186

2301
01:46:53.159 --> 01:46:53.392

2302
01:46:53.350 --> 01:46:54.098

2303
01:46:54.248 --> 01:46:55.810

2304
01:46:55.848 --> 01:46:56.486

2305
01:46:56.428 --> 01:46:58.109

2306
01:46:58.089 --> 01:46:58.679

2307
01:46:58.673 --> 01:46:59.461

2308
01:46:59.750 --> 01:47:00.236

2309
01:47:00.270 --> 01:47:00.511

2310
01:47:00.592 --> 01:47:00.861

2311
01:47:00.909 --> 01:47:01.314

2312
01:47:01.361 --> 01:47:01.640

2313
01:47:01.679 --> 01:47:01.913

2314
01:47:02.073 --> 01:47:02.270

2315
01:47:02.192 --> 01:47:03.085

2316
01:47:03.222 --> 01:47:03.473

2317
01:47:03.599 --> 01:47:04.929
please

2318
01:47:04.691 --> 01:47:05.555

2319
01:47:05.649 --> 01:47:07.715

2320
01:47:07.699 --> 01:47:09.077

2321
01:47:09.110 --> 01:47:09.366

2322
01:47:09.373 --> 01:47:10.165

2323
01:47:10.199 --> 01:47:10.737

2324
01:47:10.842 --> 01:47:12.973

2325
01:47:12.949 --> 01:47:13.402

2326
01:47:13.209 --> 01:47:13.484

2327
01:47:13.470 --> 01:47:14.672

2328
01:47:16.541 --> 01:47:17.927

2329
01:47:18.150 --> 01:47:21.676

2330
01:47:21.601 --> 01:47:21.818

2331
01:47:21.791 --> 01:47:22.883

2332
01:47:22.823 --> 01:47:27.797

2333
01:47:27.820 --> 01:47:28.411

2334
01:47:28.592 --> 01:47:30.515

2335
01:47:30.455 --> 01:47:34.871

2336
01:47:34.928 --> 01:47:35.542

2337
01:47:35.761 --> 01:47:37.196

2338
01:47:37.169 --> 01:47:37.406

2339
01:47:37.429 --> 01:47:39.287

2340
01:47:39.349 --> 01:47:42.247

2341
01:47:44.541 --> 01:47:46.039

2342
01:47:46.199 --> 01:47:48.267

2343
01:47:48.192 --> 01:47:52.425

2344
01:47:52.550 --> 01:47:53.081

2345
01:47:53.379 --> 01:47:54.746

2346
01:47:54.978 --> 01:47:56.396

2347
01:48:01.146 --> 01:48:01.986

2348
01:48:02.149 --> 01:48:03.000

2349
01:48:02.995 --> 01:48:03.732

2350
01:48:03.818 --> 01:48:04.611

2351
01:48:04.779 --> 01:48:08.765

2352
01:48:08.948 --> 01:48:10.061

2353
01:48:10.161 --> 01:48:10.699

2354
01:48:10.994 --> 01:48:11.213

2355
01:48:11.311 --> 01:48:11.722

2356
01:48:11.829 --> 01:48:12.421

2357
01:48:12.592 --> 01:48:15.223
all good

2358
01:48:18.433 --> 01:48:21.520
a bit of an IT glitch sorry everyone

2359
01:48:21.499 --> 01:48:21.873

2360
01:48:22.469 --> 01:48:22.674

2361
01:48:22.719 --> 01:48:23.200

2362
01:48:23.430 --> 01:48:23.663

2363
01:48:23.620 --> 01:48:23.836

2364
01:48:23.941 --> 01:48:24.527

2365
01:48:24.449 --> 01:48:24.861

2366
01:48:25.030 --> 01:48:27.519

2367
01:48:28.549 --> 01:48:30.210

2368
01:48:32.069 --> 01:48:32.275

2369
01:48:32.198 --> 01:48:32.450

2370
01:48:32.461 --> 01:48:32.769

2371
01:48:32.711 --> 01:48:35.002

2372
01:48:35.790 --> 01:48:36.517

2373
01:48:36.488 --> 01:48:37.032

2374
01:48:37.392 --> 01:48:38.169

2375
01:48:38.218 --> 01:48:38.431

2376
01:48:38.413 --> 01:48:38.754

2377
01:48:39.060 --> 01:48:40.803

2378
01:48:40.849 --> 01:48:41.044

2379
01:48:41.038 --> 01:48:41.303

2380
01:48:41.231 --> 01:48:42.542

2381
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2382
01:48:46.230 --> 01:48:47.795

2383
01:48:47.830 --> 01:48:49.768

2384
01:48:49.819 --> 01:48:51.377

2385
01:48:51.349 --> 01:48:54.959

2386
01:48:54.999 --> 01:48:55.358

2387
01:48:55.332 --> 01:48:55.866

2388
01:48:55.839 --> 01:48:58.619

2389
01:48:58.588 --> 01:48:58.876

2390
01:48:58.849 --> 01:49:00.148

2391
01:49:00.188 --> 01:49:03.011

2392
01:49:02.949 --> 01:49:03.674

2393
01:49:03.849 --> 01:49:05.274

2394
01:49:05.318 --> 01:49:05.576

2395
01:49:05.449 --> 01:49:08.146

2396
01:49:09.031 --> 01:49:09.679

2397
01:49:09.611 --> 01:49:12.482

2398
01:49:12.631 --> 01:49:14.115

2399
01:49:14.290 --> 01:49:16.853
good afternoon everyone

2400
01:49:16.790 --> 01:49:17.064

2401
01:49:17.111 --> 01:49:21.257
yes uh my name is I'm working under the

2402
01:49:21.400 --> 01:49:24.629
National Center for special education in Vietnam

2403
01:49:24.670 --> 01:49:27.657
uh under the ministry of educational and training

2404
01:49:27.932 --> 01:49:33.429
so uh I'm parents so you are also parents and will be parents

2405
01:49:33.310 --> 01:49:34.032
future

2406
01:49:34.269 --> 01:49:38.954
so my research is on the skills of the parent

2407
01:49:38.890 --> 01:49:41.410
in Vietnam

2408
01:49:41.709 --> 01:49:47.444
so in my opinion I think that if we improve the balance skill

2409
01:49:47.669 --> 01:49:53.198
in interacting with the children with autism so the children with autism will develop

2410
01:49:53.560 --> 01:49:58.541
so that's my research um and I'm very honored to be here to

2411
01:49:58.553 --> 01:50:02.278
is then 1 of our research during 3 years

2412
01:50:02.720 --> 01:50:08.115
uh with the and research content the methodology and

2413
01:50:08.102 --> 01:50:08.985
writings

2414
01:50:08.802 --> 01:50:09.032

2415
01:50:09.133 --> 01:50:14.356
so the the amount of our research is is my the current state that

2416
01:50:13.989 --> 01:50:16.362
and invention skill

2417
01:50:16.302 --> 01:50:20.649
quality and with ASD through 3 to 6 years

2418
01:50:20.869 --> 01:50:23.554
who are diagnosed with ISD

2419
01:50:23.353 --> 01:50:23.794

2420
01:50:23.604 --> 01:50:25.998
and for the sample

2421
01:50:25.980 --> 01:50:30.616
and the population so you can see on the slide that we

2422
01:50:30.590 --> 01:50:34.773
we do the research on total 280

2423
01:50:34.953 --> 01:50:36.371
parents

2424
01:50:39.622 --> 01:50:41.088
and high city

2425
01:50:41.223 --> 01:50:45.572
so you can see that we do some uh methodology that like

2426
01:50:45.773 --> 01:50:47.531
we have the IND

2427
01:50:47.562 --> 01:50:49.097
uh assessment

2428
01:50:49.031 --> 01:50:52.410
we do the survey form and we

2429
01:50:52.311 --> 01:50:55.842
we will have the observation for the parent

2430
01:50:55.630 --> 01:50:57.602
who have children with

2431
01:50:57.810 --> 01:51:03.175
I actually in in Vietnam so for example the statistic of

2432
01:51:03.130 --> 01:51:04.962
the parent who

2433
01:51:05.111 --> 01:51:07.403
do the questionnaire by the

2434
01:51:07.173 --> 01:51:09.325
providing in the city

2435
01:51:09.223 --> 01:51:10.837
and um

2436
01:51:11.782 --> 01:51:17.677
is very important that uh most of the parents in Vietnam when we do the research

2437
01:51:17.424 --> 01:51:17.702

2438
01:51:17.743 --> 01:51:21.550
they have the intervention for the children at home

2439
01:51:21.453 --> 01:51:21.695

2440
01:51:21.643 --> 01:51:26.310
like them for at the 85% of the balance

2441
01:51:26.960 --> 01:51:29.678
determine that they do the

2442
01:51:29.782 --> 01:51:31.677
intervention for the children

2443
01:51:31.643 --> 01:51:36.227
at home in the night Knightly activities and

2444
01:51:36.064 --> 01:51:41.048
they get the children go to the Early Intervention Center is very important

2445
01:51:40.994 --> 01:51:41.220

2446
01:51:41.251 --> 01:51:46.260
so mostly the children with autism in Vietnam are in the Wind

2447
01:51:46.051 --> 01:51:46.865
now

2448
01:51:46.823 --> 01:51:47.088

2449
01:51:47.143 --> 01:51:52.545
uh but uh there are some factors that affect the effective the intervention of the

2450
01:51:52.274 --> 01:51:53.280
hands

2451
01:51:53.162 --> 01:51:56.281
for example the balance in the v method

2452
01:51:56.182 --> 01:52:01.554
they don't have enough methodology to to teach and to intervene their children

2453
01:52:01.364 --> 01:52:06.176
home um they have some they don't know uh

2454
01:52:06.175 --> 01:52:07.533
what is the

2455
01:52:07.451 --> 01:52:11.526
specific security of the children for example the language

2456
01:52:11.551 --> 01:52:13.611
the behaviors and

2457
01:52:13.602 --> 01:52:15.053
some of the

2458
01:52:15.202 --> 01:52:20.673
the diagnose although this other for example they don't have the economics

2459
01:52:20.463 --> 01:52:21.427
call distance

2460
01:52:22.064 --> 01:52:26.538
apparently to work all day so they don't have time to teach the children at home

2461
01:52:26.921 --> 01:52:31.125
so on our surveys and our M skill

2462
01:52:30.963 --> 01:52:32.906
we focus on the fact

2463
01:52:33.073 --> 01:52:36.816
so you can see on the slide and there are some

2464
01:52:37.248 --> 01:52:42.695
main group a skill that the parent need to have when they have the children with autism

2465
01:52:42.432 --> 01:52:43.088

2466
01:52:43.002 --> 01:52:45.707
for example they need to focus on the child

2467
01:52:46.272 --> 01:52:49.135
they need to adjust the communication

2468
01:52:49.352 --> 01:52:50.803
they need to create the

2469
01:52:50.696 --> 01:52:52.579
opportunity to

2470
01:52:52.484 --> 01:52:56.256
to have more connection with their children at all the time

2471
01:52:56.143 --> 01:52:58.518
and they need to teach the new skill

2472
01:52:58.384 --> 01:53:01.093
quality and and they said the skill

2473
01:53:00.944 --> 01:53:04.241
for all the activity in the whole day

2474
01:53:05.302 --> 01:53:11.452
so that's fine group of skill that we do the research on the pattern for example when we do the

2475
01:53:11.322 --> 01:53:11.910

2476
01:53:11.902 --> 01:53:14.487
still buy on the focus on the child skill

2477
01:53:14.393 --> 01:53:17.349
so for um the post season

2478
01:53:17.152 --> 01:53:19.731
also the position that the parent

2479
01:53:19.592 --> 01:53:21.243
uh often use

2480
01:53:21.517 --> 01:53:25.381
for example they they see face to face to the children

2481
01:53:25.418 --> 01:53:29.090
and the the the ice level

2482
01:53:29.003 --> 01:53:29.932
and

2483
01:53:29.833 --> 01:53:32.958
and the object they take out of the children

2484
01:53:33.169 --> 01:53:38.489
so most of the baron is the position very very good in Vietnam

2485
01:53:38.673 --> 01:53:44.152
so uh so other people will sit behind the children to bribe

2486
01:53:44.193 --> 01:53:48.153
Provide support or see at the same level of the children

2487
01:53:48.923 --> 01:53:50.979
and uh the

2488
01:53:51.043 --> 01:53:52.460
parent

2489
01:53:52.394 --> 01:53:53.588
often

2490
01:53:53.603 --> 01:53:59.140
any test the interaction between their children for example they will let the children play first and then

2491
01:53:59.315 --> 01:54:05.969
they follow the chair and lead and in the involvement with the children but uh but you can see here

2492
01:54:06.473 --> 01:54:10.495
most of the parent of often questioning

2493
01:54:10.454 --> 01:54:16.048
and giving instruction to the children even they the children don't understand what

2494
01:54:16.093 --> 01:54:26.093
they answer and the question

2495
01:54:20.970 --> 01:54:30.970
um sometimes the the parent will imitate the body

2496
01:54:28.032 --> 01:54:36.225
body language and

2497
01:54:28.324 --> 01:54:36.224
facial like passion and the body movement of the children

2498
01:54:31.664 --> 01:54:36.226

2499
01:54:32.436 --> 01:54:36.225
to get the connection between the parent and the children

2500
01:54:35.755 --> 01:54:36.571
so

2501
01:54:36.464 --> 01:54:40.019
uh the children will have more developments

2502
01:54:42.994 --> 01:54:44.033
um

2503
01:54:44.086 --> 01:54:44.383

2504
01:54:44.274 --> 01:54:46.303
the band will um

2505
01:54:46.514 --> 01:54:47.647
in

2506
01:54:47.875 --> 01:54:57.669
we will make more retro and body language for the children and

2507
01:54:53.435 --> 01:54:58.718
may I use the facial expression more and more and the toner The Voice

2508
01:54:57.924 --> 01:55:02.094
will will be used in the chat and interaction with the children

2509
01:55:04.207 --> 01:55:06.970
they um

2510
01:55:07.594 --> 01:55:12.999
about the position that they um put the toys they will um

2511
01:55:12.794 --> 01:55:16.401
select the toy within the children Ed

2512
01:55:17.463 --> 01:55:23.446
and teaching new skill for example the parent will comment often comment on what

2513
01:55:23.235 --> 01:55:24.860
the children is doing

2514
01:55:24.709 --> 01:55:28.540
joying in The Children Play and guiding the children play

2515
01:55:30.915 --> 01:55:32.031
yes

2516
01:55:32.009 --> 01:55:36.447
and I also found that most of the band will

2517
01:55:36.425 --> 01:55:39.130
participate in the trainings

2518
01:55:39.245 --> 01:55:41.581
of the teacher and all the I

2519
01:55:41.359 --> 01:55:45.300
and in Vietnam we also have a very good support

2520
01:55:45.209 --> 01:55:49.916
of the community community live Vietnam autism Network

2521
01:55:50.135 --> 01:55:53.936
live Community for my full parent of special need

2522
01:55:53.728 --> 01:55:54.626

2523
01:55:54.627 --> 01:55:56.059
a blue light

2524
01:55:55.964 --> 01:55:58.458
so the support of the community

2525
01:55:58.396 --> 01:55:59.782
have the parent

2526
01:55:59.679 --> 01:56:02.473
to have more skill and skill to

2527
01:56:02.378 --> 01:56:03.925
to live with the children

2528
01:56:04.106 --> 01:56:05.986
so on on discussion

2529
01:56:06.157 --> 01:56:10.235
so how how can we develop the parent right now

2530
01:56:10.447 --> 01:56:10.667

2531
01:56:10.636 --> 01:56:14.455
not only the policy but also the community

2532
01:56:14.415 --> 01:56:17.179
the committee need to be involved

2533
01:56:17.554 --> 01:56:20.333
intending the skill for the parents

2534
01:56:21.409 --> 01:56:24.778
so that's all my my resource

2535
01:56:24.854 --> 01:56:28.995
so uh if you have any question related to my resource

2536
01:56:28.899 --> 01:56:31.646
all the parents still related to

2537
01:56:31.516 --> 01:56:35.771
the chair then with autism I can answer all the question to you

2538
01:56:35.947 --> 01:56:37.818
thank you very much for listening

2539
01:56:37.676 --> 01:56:41.910

2540
01:56:42.155 --> 01:56:42.398

2541
01:56:42.998 --> 01:56:43.197

2542
01:56:43.435 --> 01:56:44.162

2543
01:56:44.205 --> 01:56:44.435

2544
01:56:44.397 --> 01:56:49.673
thank you very much Mr uh William from Vietnam and um

2545
01:56:51.399 --> 01:56:55.375
our participants so do you have any question for the session

2546
01:56:55.548 --> 01:56:55.801

2547
01:56:56.116 --> 01:57:00.136
no question I'm sorry because we have no time no more time

2548
01:57:00.035 --> 01:57:01.091
like that

2549
01:57:01.969 --> 01:57:07.511
okay and I would like to say thank you very much Dr Union from Vietnam and

2550
01:57:07.335 --> 01:57:09.201
are right now

2551
01:57:09.127 --> 01:57:10.536

2552
01:57:10.476 --> 01:57:11.137

2553
01:57:11.435 --> 01:57:14.461
everybody could you please uh

2554
01:57:14.376 --> 01:57:15.863
and

2555
01:57:15.797 --> 01:57:17.149
QR code

2556
01:57:17.836 --> 01:57:21.699
to if uh evaluate uh our event

2557
01:57:21.617 --> 01:57:24.911
and um give her some feedback

2558
01:57:25.148 --> 01:57:26.590
for 10 minutes

2559
01:57:26.935 --> 01:57:28.038
thank you very much

2560
01:57:28.725 --> 01:57:29.003

2561
01:57:28.987 --> 01:57:29.326

2562
01:57:31.115 --> 01:57:31.508

2563
01:57:31.675 --> 01:57:32.217

2564
01:57:32.198 --> 01:57:32.728

2565
01:57:33.086 --> 01:57:33.303

2566
01:57:33.537 --> 01:57:34.006

2567
01:57:34.177 --> 01:57:40.632
everyone this is really very important uh please scan the QR code and give us your evaluation

2568
01:57:40.586 --> 01:57:42.357
it will help us to do the next

2569
01:57:42.319 --> 01:57:43.099

2570
01:57:43.598 --> 01:57:48.952
uh Symposium thank you very much

2571
01:57:49.105 --> 01:57:53.986
why did they leave feedback

2572
01:57:53.967 --> 01:57:58.671
pack up

2573
01:58:01.076 --> 01:58:01.307

2574
01:58:01.395 --> 01:58:01.806

2575
01:58:01.918 --> 01:58:02.381

2576
01:58:02.746 --> 01:58:02.977

2577
01:58:02.996 --> 01:58:03.398

2578
01:58:03.636 --> 01:58:04.431

2579
01:58:04.606 --> 01:58:04.877

2580
01:58:04.927 --> 01:58:05.168

2581
01:58:05.246 --> 01:58:06.875

2582
01:58:06.846 --> 01:58:09.105

2583
01:58:09.086 --> 01:58:09.494

2584
01:58:09.920 --> 01:58:10.135

2585
01:58:10.177 --> 01:58:10.639

2586
01:58:10.756 --> 01:58:13.339

2587
01:58:13.319 --> 01:58:13.571

2588
01:58:13.518 --> 01:58:13.765

2589
01:58:13.768 --> 01:58:14.015

2590
01:58:14.027 --> 01:58:15.110

2591
01:58:15.118 --> 01:58:17.717

2592
01:58:17.867 --> 01:58:18.245

2593
01:58:18.697 --> 01:58:19.527

2594
01:58:19.526 --> 01:58:20.054

2595
01:58:20.356 --> 01:58:21.334

2596
01:58:21.269 --> 01:58:22.378

2597
01:58:22.357 --> 01:58:22.564

2598
01:58:22.607 --> 01:58:22.853

2599
01:58:22.868 --> 01:58:23.679

2600
01:58:23.756 --> 01:58:26.659

2601
01:58:26.636 --> 01:58:27.242

2602
01:58:27.277 --> 01:58:27.528

2603
01:58:27.536 --> 01:58:27.884

2604
01:58:27.856 --> 01:58:28.393

2605
01:58:28.370 --> 01:58:29.037

2606
01:58:29.206 --> 01:58:29.445

2607
01:58:29.526 --> 01:58:29.785

2608
01:58:29.717 --> 01:58:31.342

2609
01:58:31.387 --> 01:58:32.798

2610
01:58:32.797 --> 01:58:33.390

2611
01:58:33.372 --> 01:58:35.672

2612
01:58:36.187 --> 01:58:36.591

2613
01:58:36.637 --> 01:58:37.168

2614
01:58:37.206 --> 01:58:37.757

2615
01:58:37.989 --> 01:58:38.582

2616
01:58:38.556 --> 01:58:39.806

2617
01:58:39.776 --> 01:58:39.975

2618
01:58:39.906 --> 01:58:41.563

2619
01:58:41.568 --> 01:58:44.209

2620
01:58:44.318 --> 01:58:44.923

2621
01:58:45.156 --> 01:58:46.833

2622
01:58:49.316 --> 01:58:49.791

2623
01:58:49.838 --> 01:58:51.056

2624
01:58:50.988 --> 01:58:51.217

2625
01:58:51.177 --> 01:58:51.607

2626
01:58:51.497 --> 01:58:51.713

2627
01:58:51.756 --> 01:58:51.990

2628
01:58:52.006 --> 01:58:54.602

2629
01:58:54.707 --> 01:58:55.626

2630
01:58:55.597 --> 01:58:56.132

2631
01:58:56.117 --> 01:58:56.331

2632
01:58:56.306 --> 01:58:57.541

2633
01:58:57.588 --> 01:58:57.848

2634
01:58:57.776 --> 01:58:58.723

2635
01:58:58.675 --> 01:58:58.902

2636
01:58:58.866 --> 01:58:59.100

2637
01:58:59.056 --> 01:58:59.268

2638
01:58:59.189 --> 01:59:02.591

2639
01:59:02.516 --> 01:59:05.241

2640
01:59:05.207 --> 01:59:08.619

2641
01:59:08.539 --> 01:59:09.590

2642
01:59:09.627 --> 01:59:10.677

2643
01:59:10.717 --> 01:59:11.194

2644
01:59:11.557 --> 01:59:12.919

2645
01:59:13.157 --> 01:59:15.074

2646
01:59:18.076 --> 01:59:19.493

2647
01:59:19.557 --> 01:59:19.844

2648
01:59:19.818 --> 01:59:20.102

2649
01:59:20.397 --> 01:59:22.311

2650
01:59:22.316 --> 01:59:22.923

2651
01:59:23.016 --> 01:59:24.526

2652
01:59:24.487 --> 01:59:25.573

2653
01:59:28.978 --> 01:59:30.390

2654
01:59:30.837 --> 01:59:33.207

2655
01:59:34.289 --> 01:59:35.571

2656
01:59:37.177 --> 01:59:37.718

2657
01:59:37.946 --> 01:59:38.289

2658
01:59:38.266 --> 01:59:40.195

2659
01:59:41.847 --> 01:59:46.420

2660
01:59:46.786 --> 01:59:47.698

2661
01:59:47.616 --> 01:59:48.147

2662
01:59:48.387 --> 01:59:50.756

2663
02:00:00.444 --> 02:00:02.801

2664
02:00:03.886 --> 02:00:04.121

2665
02:00:04.396 --> 02:00:05.301

2666
02:00:05.237 --> 02:00:05.761

2667
02:00:06.066 --> 02:00:07.095

2668
02:00:07.026 --> 02:00:08.273

2669
02:00:08.246 --> 02:00:12.999

2670
02:00:13.177 --> 02:00:13.521

2671
02:00:13.496 --> 02:00:13.905

2672
02:00:14.008 --> 02:00:14.604

2673
02:00:14.836 --> 02:00:18.128

2674
02:00:18.117 --> 02:00:18.393

2675
02:00:18.437 --> 02:00:18.908

2676
02:00:18.947 --> 02:00:19.288

2677
02:00:19.266 --> 02:00:19.484

2678
02:00:19.588 --> 02:00:19.933

2679
02:00:19.837 --> 02:00:20.244

2680
02:00:20.038 --> 02:00:21.864

2681
02:00:21.959 --> 02:00:22.486

2682
02:00:22.467 --> 02:00:22.859

2683
02:00:22.717 --> 02:00:22.986

2684
02:00:22.848 --> 02:00:23.386

2685
02:00:23.489 --> 02:00:23.883

2686
02:00:23.616 --> 02:00:25.814

2687
02:00:29.766 --> 02:00:30.437

2688
02:00:30.797 --> 02:00:32.236

2689
02:00:32.467 --> 02:00:34.407

2690
02:00:34.386 --> 02:00:34.600

2691
02:00:34.578 --> 02:00:36.158

2692
02:00:36.629 --> 02:00:37.676

2693
02:00:37.647 --> 02:00:39.199

2694
02:00:39.637 --> 02:00:40.364

2695
02:00:40.406 --> 02:00:40.942

2696
02:00:41.236 --> 02:00:43.491

2697
02:00:43.479 --> 02:00:44.597

2698
02:00:44.566 --> 02:00:44.792

2699
02:00:44.887 --> 02:00:45.425

2700
02:00:45.466 --> 02:00:47.610

2701
02:00:47.637 --> 02:00:48.181

2702
02:00:48.408 --> 02:00:50.113

2703
02:00:50.078 --> 02:00:51.050

2704
02:00:50.980 --> 02:00:56.246

2705
02:01:04.749 --> 02:01:05.220

2706
02:01:05.268 --> 02:01:05.645

2707
02:01:05.517 --> 02:01:05.780

2708
02:01:06.037 --> 02:01:06.446

2709
02:01:06.416 --> 02:01:06.827

2710
02:01:06.866 --> 02:01:07.658

2711
02:01:07.637 --> 02:01:09.700

2712
02:01:09.677 --> 02:01:11.670

2713
02:01:12.630 --> 02:01:12.843

2714
02:01:12.818 --> 02:01:13.941

2715
02:01:14.037 --> 02:01:14.514

2716
02:01:14.556 --> 02:01:14.776

2717
02:01:14.878 --> 02:01:15.240

2718
02:01:15.197 --> 02:01:15.536

2719
02:01:15.578 --> 02:01:16.250

2720
02:01:16.562 --> 02:01:18.348

2721
02:01:18.418 --> 02:01:19.983

2722
02:01:20.019 --> 02:01:23.026

2723
02:01:24.502 --> 02:01:25.943

2724
02:01:26.100 --> 02:01:26.504

2725
02:01:26.227 --> 02:01:27.278

2726
02:01:27.318 --> 02:01:28.865

2727
02:01:28.787 --> 02:01:29.464

2728
02:01:29.500 --> 02:01:30.225

2729
02:01:30.269 --> 02:01:30.495

2730
02:01:30.458 --> 02:01:32.512

2731
02:01:32.508 --> 02:01:33.169

2732
02:01:33.337 --> 02:01:33.948

2733
02:01:34.051 --> 02:01:35.962

2734
02:01:35.969 --> 02:01:37.758

2735
02:01:37.700 --> 02:01:40.924

2736
02:01:41.287 --> 02:01:41.628

2737
02:01:41.606 --> 02:01:41.829

2738
02:01:41.800 --> 02:01:42.667

2739
02:01:42.819 --> 02:01:43.044

2740
02:01:42.950 --> 02:01:43.865

2741
02:01:43.850 --> 02:01:47.203

2742
02:01:47.119 --> 02:01:49.869

2743
02:01:50.128 --> 02:01:51.602

2744
02:01:51.727 --> 02:01:56.940

2745
02:01:59.608 --> 02:02:00.460

2746
02:02:00.568 --> 02:02:02.519

2747
02:02:02.502 --> 02:02:04.744

2748
02:02:04.738 --> 02:02:04.996

2749
02:02:04.928 --> 02:02:07.121

2750
02:02:07.357 --> 02:02:07.611

2751
02:02:07.677 --> 02:02:08.025

2752
02:02:08.000 --> 02:02:09.313

2753
02:02:09.277 --> 02:02:10.319

2754
02:02:10.299 --> 02:02:11.783

2755
02:02:12.938 --> 02:02:16.664

2756
02:02:16.578 --> 02:02:17.996

2757
02:02:17.988 --> 02:02:20.008

2758
02:02:20.049 --> 02:02:21.591

2759
02:02:21.520 --> 02:02:22.609

2760
02:02:22.607 --> 02:02:22.832

2761
02:02:22.857 --> 02:02:24.849

2762
02:02:24.849 --> 02:02:27.558

2763
02:02:27.607 --> 02:02:28.636

2764
02:02:28.947 --> 02:02:30.513

2765
02:02:30.546 --> 02:02:33.695

2766
02:02:33.621 --> 02:02:34.941

2767
02:02:34.970 --> 02:02:35.579

2768
02:02:35.549 --> 02:02:36.713

2769
02:02:36.697 --> 02:02:38.167

2770
02:02:40.989 --> 02:02:42.707

2771
02:02:42.978 --> 02:02:44.512

2772
02:02:44.578 --> 02:02:49.583

2773
02:02:49.508 --> 02:02:50.362

2774
02:02:50.278 --> 02:02:50.881

2775
02:02:50.977 --> 02:02:51.172

2776
02:02:51.239 --> 02:02:51.466

2777
02:02:51.497 --> 02:02:51.916

2778
02:02:51.758 --> 02:02:52.472

2779
02:02:52.458 --> 02:02:55.638

2780
02:02:55.598 --> 02:02:59.713

2781
02:02:59.759 --> 02:03:01.370

2782
02:03:01.370 --> 02:03:02.100

2783
02:03:02.198 --> 02:03:07.467

2784
02:03:08.740 --> 02:03:10.916

2785
02:03:10.908 --> 02:03:14.188

2786
02:03:14.109 --> 02:03:15.158

2787
02:03:15.140 --> 02:03:16.357

2788
02:03:16.561 --> 02:03:17.345

2789
02:03:17.318 --> 02:03:19.006

2790
02:03:18.978 --> 02:03:19.656

2791
02:03:19.817 --> 02:03:22.184

2792
02:03:25.648 --> 02:03:26.643

2793
02:03:26.611 --> 02:03:27.342

2794
02:03:27.310 --> 02:03:27.661

2795
02:03:27.817 --> 02:03:30.648

2796
02:03:30.578 --> 02:03:30.818

2797
02:03:30.829 --> 02:03:35.466

2798
02:03:35.448 --> 02:03:35.696

2799
02:03:35.768 --> 02:03:37.332

2800
02:03:37.428 --> 02:03:40.117

2801
02:03:53.526 --> 02:03:54.813

2802
02:03:54.791 --> 02:04:00.087

2803
02:04:02.028 --> 02:04:07.299

2804
02:04:07.418 --> 02:04:10.494

2805
02:04:10.740 --> 02:04:10.933

2806
02:04:10.869 --> 02:04:11.114

2807
02:04:10.999 --> 02:04:11.276

2808
02:04:11.260 --> 02:04:12.478

2809
02:04:12.410 --> 02:04:15.168

2810
02:04:15.098 --> 02:04:16.586

2811
02:04:16.594 --> 02:04:16.858

2812
02:04:18.239 --> 02:04:18.513

2813
02:04:18.499 --> 02:04:18.783

2814
02:04:19.068 --> 02:04:19.307

2815
02:04:19.839 --> 02:04:20.197

2816
02:04:20.098 --> 02:04:20.577

2817
02:04:20.539 --> 02:04:21.175

2818
02:04:21.380 --> 02:04:24.016

2819
02:04:24.579 --> 02:04:24.987

2820
02:04:24.968 --> 02:04:25.625

2821
02:04:25.667 --> 02:04:25.930

2822
02:04:25.929 --> 02:04:26.469

2823
02:04:26.438 --> 02:04:27.808

2824
02:04:27.847 --> 02:04:28.180

2825
02:04:28.679 --> 02:04:29.399

2826
02:04:29.512 --> 02:04:30.049

2827
02:04:30.219 --> 02:04:32.230

2828
02:04:32.268 --> 02:04:32.479

2829
02:04:32.530 --> 02:04:33.678

2830
02:04:33.618 --> 02:04:37.017

2831
02:04:37.462 --> 02:04:37.717

2832
02:04:37.648 --> 02:04:38.189

2833
02:04:38.297 --> 02:04:38.821

2834
02:04:38.869 --> 02:04:40.429

2835
02:04:40.413 --> 02:04:41.380

2836
02:04:41.298 --> 02:04:41.513

2837
02:04:41.618 --> 02:04:42.038

2838
02:04:42.197 --> 02:04:42.449

2839
02:04:42.460 --> 02:04:42.729

2840
02:04:42.713 --> 02:04:43.310

2841
02:04:43.217 --> 02:04:43.825

2842
02:04:43.798 --> 02:04:45.536

2843
02:04:45.461 --> 02:04:45.937

2844
02:04:46.231 --> 02:04:46.596

2845
02:04:46.562 --> 02:04:47.042

2846
02:04:47.068 --> 02:04:47.666

2847
02:04:47.899 --> 02:04:53.808
hi everyone I hope you've had your break

2848
02:04:54.238 --> 02:04:54.470

2849
02:04:54.559 --> 02:04:54.833

2850
02:04:54.760 --> 02:04:55.012

2851
02:04:55.080 --> 02:04:56.347
um

2852
02:04:56.489 --> 02:04:59.966
before we go to this next speaker

2853
02:05:00.199 --> 02:05:05.683
I want you to see this video all of you listen to Dr basa talking

2854
02:05:05.649 --> 02:05:06.939
as a

2855
02:05:06.930 --> 02:05:08.169
a teacher

2856
02:05:08.138 --> 02:05:09.531
teaching

2857
02:05:09.739 --> 02:05:14.080
kids how to use their cock implant and helping parents

2858
02:05:14.099 --> 02:05:14.300

2859
02:05:14.360 --> 02:05:18.552
but this video is is the other version of how a parent

2860
02:05:18.781 --> 02:05:20.279
and what he's done

2861
02:05:20.451 --> 02:05:23.334
to help his child with a cockle implant

2862
02:05:23.258 --> 02:05:26.041
can we please show the video thank you

2863
02:05:26.019 --> 02:05:26.265

2864
02:05:26.339 --> 02:05:26.549

2865
02:05:26.795 --> 02:05:27.011

2866
02:05:26.981 --> 02:05:27.231

2867
02:05:27.232 --> 02:05:27.577

2868
02:05:27.433 --> 02:05:27.634

2869
02:05:27.750 --> 02:05:27.979

2870
02:05:27.940 --> 02:05:28.178

2871
02:05:28.138 --> 02:05:32.756

2872
02:05:33.189 --> 02:05:36.288

2873
02:05:36.208 --> 02:05:36.461

2874
02:05:36.338 --> 02:05:41.717
hello my name is will now I used to a couple in pants I

2875
02:05:41.838 --> 02:05:44.713
uh have that since 3 years old

2876
02:05:45.109 --> 02:05:45.367

2877
02:05:45.429 --> 02:05:48.163
and I start

2878
02:05:48.253 --> 02:05:48.471

2879
02:05:48.439 --> 02:05:52.093
the first side and the left side and later on I

2880
02:05:52.031 --> 02:05:52.938

2881
02:05:52.859 --> 02:05:55.330
the second implant

2882
02:05:55.420 --> 02:05:57.126
letter

2883
02:05:57.020 --> 02:05:57.368

2884
02:05:57.470 --> 02:05:59.067
yeah

2885
02:06:03.052 --> 02:06:03.688

2886
02:06:03.689 --> 02:06:03.944

2887
02:06:03.820 --> 02:06:05.557

2888
02:06:05.479 --> 02:06:09.726
in 3:00 at 3 years old and uh

2889
02:06:09.650 --> 02:06:10.571

2890
02:06:10.538 --> 02:06:10.949

2891
02:06:11.059 --> 02:06:12.680
we

2892
02:06:12.589 --> 02:06:16.291
bring him to a health checkup

2893
02:06:16.631 --> 02:06:17.005

2894
02:06:17.022 --> 02:06:20.220
and at Rhema Hospital

2895
02:06:20.090 --> 02:06:21.974
uh we realize that

2896
02:06:22.390 --> 02:06:22.625

2897
02:06:22.579 --> 02:06:25.793
my son has a hearing impairment

2898
02:06:25.859 --> 02:06:31.559
and that time we are chocked and I and my wife tried to find more information as

2899
02:06:31.421 --> 02:06:37.135
much as possible at the time 15 years ago it has a very limited

2900
02:06:36.939 --> 02:06:40.440
information about quickly implants and

2901
02:06:40.390 --> 02:06:41.443

2902
02:06:41.679 --> 02:06:41.890

2903
02:06:42.129 --> 02:06:47.626
finally we found that the best way is to do the operation and at that time

2904
02:06:47.822 --> 02:06:51.362
we consult with doctor and

2905
02:06:51.424 --> 02:06:53.580
the doctor also check about

2906
02:06:53.660 --> 02:06:57.082
his physical condition his um

2907
02:06:56.979 --> 02:06:58.433
mental

2908
02:06:58.339 --> 02:07:04.766
condition and also uh do assessment and at that time my son only 3 years

2909
02:07:04.609 --> 02:07:05.311

2910
02:07:05.759 --> 02:07:06.712
and

2911
02:07:06.599 --> 02:07:06.801

2912
02:07:06.730 --> 02:07:06.960

2913
02:07:06.979 --> 02:07:08.343

2914
02:07:08.522 --> 02:07:09.943
um

2915
02:07:12.622 --> 02:07:17.504
so his language development is delay comparing to other children

2916
02:07:17.679 --> 02:07:18.147

2917
02:07:18.641 --> 02:07:19.047

2918
02:07:19.025 --> 02:07:25.150
so as fast as he start to hear he can't do a lot

2919
02:07:25.048 --> 02:07:28.782
his language skill

2920
02:07:28.890 --> 02:07:34.358
my mom and my dad really helped me and support me you bring me to

2921
02:07:34.271 --> 02:07:39.565
Center to learn to pronounce the word and he helped correct me

2922
02:07:39.911 --> 02:07:45.298
when I not speak clear and he helped to guide me how to pronounce it

2923
02:07:45.221 --> 02:07:51.530
more properly after I hear after I speak more I began

2924
02:07:51.249 --> 02:07:53.052
to

2925
02:07:52.979 --> 02:07:58.562
relationship with my friend Joy them in many activities I play football with my

2926
02:07:58.421 --> 02:08:04.561
pray and go out and buy things hang out with others I hear many

2927
02:08:04.448 --> 02:08:05.596
things and

2928
02:08:05.344 --> 02:08:05.624

2929
02:08:05.543 --> 02:08:11.239
bring me me attention to other things and I really

2930
02:08:11.042 --> 02:08:13.665
appreciate my support for my mom and my dad

2931
02:08:13.671 --> 02:08:13.877

2932
02:08:14.063 --> 02:08:14.327

2933
02:08:14.249 --> 02:08:14.495

2934
02:08:14.381 --> 02:08:19.965
and if I'm thinking about this situation and I think

2935
02:08:19.761 --> 02:08:22.472
because if I am I'm very glad that

2936
02:08:22.643 --> 02:08:24.267
uh I'm very glad

2937
02:08:24.243 --> 02:08:27.592
and happy with the result I'm glad that

2938
02:08:27.761 --> 02:08:29.728
my son be able to

2939
02:08:29.695 --> 02:08:34.241
um leave his life and

2940
02:08:34.550 --> 02:08:34.752

2941
02:08:34.999 --> 02:08:37.215
the in the beginning

2942
02:08:37.249 --> 02:08:42.137
I see that uh it's not easy and

2943
02:08:42.050 --> 02:08:42.387

2944
02:08:42.499 --> 02:08:44.496
could we also say that

2945
02:08:44.419 --> 02:08:49.893
1 of the success um point for my life is

2946
02:08:49.740 --> 02:08:51.579
be able to get the

2947
02:08:51.461 --> 02:08:55.007
driving license and I also

2948
02:08:55.065 --> 02:08:58.412
be able to drive a car with a license and

2949
02:08:58.319 --> 02:08:58.727

2950
02:08:59.089 --> 02:09:01.201
as a parent

2951
02:09:01.464 --> 02:09:01.671

2952
02:09:01.589 --> 02:09:01.804

2953
02:09:01.781 --> 02:09:07.334
you need to support your child of the cock implant and

2954
02:09:07.481 --> 02:09:13.176
hearing is very important for your children

2955
02:09:13.380 --> 02:09:18.858
when they gain their hearing skill they will be able to continue

2956
02:09:18.821 --> 02:09:20.203
in his life

2957
02:09:20.100 --> 02:09:20.327

2958
02:09:20.301 --> 02:09:20.640

2959
02:09:20.870 --> 02:09:24.722
fluently and I learned about

2960
02:09:24.711 --> 02:09:28.668
the cooking I learned about battery and

2961
02:09:28.561 --> 02:09:28.794

2962
02:09:28.752 --> 02:09:28.997

2963
02:09:29.389 --> 02:09:29.590

2964
02:09:29.581 --> 02:09:32.659
I hear the

2965
02:09:32.720 --> 02:09:38.087
things that moving around in the kitchen and you know here the sound

2966
02:09:38.100 --> 02:09:43.350
when I do cooking it's um make me more enjoy

2967
02:09:43.362 --> 02:09:45.495
and I enjoy

2968
02:09:45.411 --> 02:09:50.802
uh cooking with my friends and I also love to eat a lot of food

2969
02:09:56.810 --> 02:09:59.824

2970
02:10:02.060 --> 02:10:03.430
the thing that

2971
02:10:03.660 --> 02:10:03.908

2972
02:10:04.240 --> 02:10:06.873
we all parents who have

2973
02:10:06.810 --> 02:10:12.878
kids who are in cock that want to happen so Steve's son is a good example is once you have the

2974
02:10:12.701 --> 02:10:14.047
chocolate implant

2975
02:10:13.783 --> 02:10:19.501
you can live a normal life just let me give a little background about Steve before he talks about it

2976
02:10:19.740 --> 02:10:20.567
um

2977
02:10:20.702 --> 02:10:22.820
receive or sorry

2978
02:10:22.821 --> 02:10:23.035

2979
02:10:23.141 --> 02:10:23.740

2980
02:10:23.660 --> 02:10:29.237
your name is very difficult Steve is the vice president of the

2981
02:10:28.971 --> 02:10:30.817
implant Association

2982
02:10:30.959 --> 02:10:32.227
Thailand

2983
02:10:32.303 --> 02:10:34.102
uh and uh

2984
02:10:34.103 --> 02:10:36.976
I am connected with this because of my son

2985
02:10:37.116 --> 02:10:42.432
but the work that Steve and the association is doing to advocate for

2986
02:10:42.622 --> 02:10:45.266
with hearing loss to get a cock implant

2987
02:10:45.373 --> 02:10:46.598
for them to

2988
02:10:46.583 --> 02:10:51.287
go to normal schools for them to have a very normal life is the work

2989
02:10:51.390 --> 02:10:52.502
of our

2990
02:10:52.480 --> 02:10:55.852
uh Association so let's give a hand to Steve

2991
02:10:55.752 --> 02:10:58.586
he can start his presentation thank you

2992
02:11:01.455 --> 02:11:05.218
how the process you know here first thing I have to tell the

2993
02:11:05.045 --> 02:11:10.512
translator behind uh could you be translate my English to be the English

2994
02:11:10.421 --> 02:11:15.831
because of my English is not influence I have to thank you to the

2995
02:11:15.610 --> 02:11:15.975

2996
02:11:16.060 --> 02:11:23.265
Foundation to give out the opportunity invoice our association Commission

2997
02:11:23.041 --> 02:11:23.877

2998
02:11:23.810 --> 02:11:29.330
experience to everyone uh I'm I'm I'm will not talking all the debt

2999
02:11:29.130 --> 02:11:30.837
will follow all

3000
02:11:30.791 --> 02:11:37.307
uh because of you can see all the detail in in the books already but I I going to tell you what

3001
02:11:37.155 --> 02:11:42.841
Association we did we are doing and what is our association

3002
02:11:42.771 --> 02:11:44.287
uh vision

3003
02:11:44.241 --> 02:11:45.142
uh

3004
02:11:45.142 --> 02:11:49.809
in the future and what we are doing in the future uh talking about

3005
02:11:50.142 --> 02:11:52.001
uh 20 years ago

3006
02:11:52.061 --> 02:11:55.172
uh-huh since my son uh was born

3007
02:11:55.262 --> 02:11:56.101
uh

3008
02:11:55.973 --> 02:11:57.441
born

3009
02:11:57.381 --> 02:12:01.780
and during that time there's a we are just realized that the thigh

3010
02:12:01.611 --> 02:12:02.596

3011
02:12:02.572 --> 02:12:05.027
men

3012
02:12:04.811 --> 02:12:05.526
not

3013
02:12:05.700 --> 02:12:09.752
uh subsidi for the operation for the core

3014
02:12:09.622 --> 02:12:10.542
yoohoo

3015
02:12:10.322 --> 02:12:11.254
so

3016
02:12:11.345 --> 02:12:12.582
20 years ago

3017
02:12:12.694 --> 02:12:16.452
my son uh doing the cock clearing pan on the first size

3018
02:12:17.042 --> 02:12:17.238

3019
02:12:17.174 --> 02:12:21.196
at that time the court is 1.2 million B

3020
02:12:21.141 --> 02:12:21.424

3021
02:12:22.042 --> 02:12:23.919
1.2

3022
02:12:24.022 --> 02:12:25.523
but

3023
02:12:25.562 --> 02:12:27.186
so

3024
02:12:27.248 --> 02:12:27.495

3025
02:12:27.550 --> 02:12:33.476
after we did the operate for my son I just talked with my wife hey so this kind of thing is a

3026
02:12:33.251 --> 02:12:34.806
for the social with

3027
02:12:34.661 --> 02:12:37.556
they are not cover all the time people or the

3028
02:12:37.544 --> 02:12:40.146
children so what they are doing

3029
02:12:40.422 --> 02:12:42.662
how how they operate

3030
02:12:42.672 --> 02:12:45.993
so that time we are just and my wife just talking with the

3031
02:12:46.131 --> 02:12:49.354
the ministry uh Governor that

3032
02:12:49.330 --> 02:12:52.820
uh start from the all the global Governor people

3033
02:12:52.981 --> 02:12:55.453
who who have the debt born

3034
02:12:55.801 --> 02:12:57.809
so they better

3035
02:12:58.300 --> 02:12:59.711
Italy and

3036
02:12:59.651 --> 02:13:01.080
so finally

3037
02:13:01.122 --> 02:13:03.442
the ministry and the minister

3038
02:13:03.621 --> 02:13:04.993
they agree

3039
02:13:04.963 --> 02:13:11.822
approved for all the governor during that time that they can reimburse 85% but after that again I just

3040
02:13:11.621 --> 02:13:13.475
tell my wife that I told my wife

3041
02:13:13.294 --> 02:13:16.575
it is unfair also how is normal people

3042
02:13:16.821 --> 02:13:22.511
who work with like a low low slightly they cannot effort for like a 1.2 million but

3043
02:13:22.382 --> 02:13:25.278
so after that I decide to operate

3044
02:13:25.214 --> 02:13:26.061
my son

3045
02:13:25.916 --> 02:13:28.621
on the second size because of

3046
02:13:28.731 --> 02:13:30.218
we need to pushing

3047
02:13:30.140 --> 02:13:31.005
who

3048
02:13:30.900 --> 02:13:36.243
post more the governor or the prime minister at that time and I don't want the people to gossip me that

3049
02:13:36.032 --> 02:13:37.854
uh we are pushing for my son

3050
02:13:37.764 --> 02:13:40.160
so after we operate on the second size

3051
02:13:40.142 --> 02:13:45.486
we are just like lighting the letter to the Prime Minister and the pushing all the ministry in public health

3052
02:13:45.451 --> 02:13:50.052
uh-huh we fighting for almost like a 12 year until last 2 year

3053
02:13:50.190 --> 02:13:51.337
we can get

3054
02:13:51.470 --> 02:13:52.907
the proper law

3055
02:13:53.015 --> 02:13:55.302
they approved all the

3056
02:13:55.316 --> 02:13:59.191
people Everyone that who they born

3057
02:13:59.291 --> 02:14:03.425
they can do the operation 1 side fee of charge

3058
02:14:03.452 --> 02:14:08.297
this is what our association doing but after we

3059
02:14:08.583 --> 02:14:10.026
we realize that

3060
02:14:09.983 --> 02:14:12.536
uh many children

3061
02:14:12.941 --> 02:14:15.835
they did the clay in pan uhuh

3062
02:14:15.692 --> 02:14:18.228
the problem is coming to us

3063
02:14:18.183 --> 02:14:18.567

3064
02:14:18.762 --> 02:14:18.978

3065
02:14:19.141 --> 02:14:20.389
uh not

3066
02:14:20.302 --> 02:14:22.150
not uh how to say

3067
02:14:22.161 --> 02:14:25.151
we just realized the problem is not only the how to

3068
02:14:25.042 --> 02:14:29.315
how to operate how to do the cockpit and but the problem is

3069
02:14:29.721 --> 02:14:31.094
the transition

3070
02:14:31.062 --> 02:14:31.349

3071
02:14:31.190 --> 02:14:33.663
after the call clear implant

3072
02:14:33.753 --> 02:14:37.549
to the normal school to the to the school get the

3073
02:14:37.342 --> 02:14:41.114
get the children to the school most of the parents

3074
02:14:41.184 --> 02:14:43.954
they don't have like the idea they don't know

3075
02:14:43.942 --> 02:14:46.546
the mindset of the balance that that

3076
02:14:46.571 --> 02:14:51.939
thought that after the children doing the clay and then they can put the children to the normal school

3077
02:14:52.013 --> 02:14:52.991
immediately

3078
02:14:53.361 --> 02:14:55.896
they thought that the student can speak immediately

3079
02:14:55.922 --> 02:14:56.151

3080
02:14:56.436 --> 02:14:59.722
but in fact is no because of

3081
02:14:59.703 --> 02:15:05.838
just like uh the children after the operate they just like a baby just born they just yelling

3082
02:15:06.103 --> 02:15:08.119
they just uh listening

3083
02:15:08.340 --> 02:15:11.523
so they need the time to transition

3084
02:15:11.682 --> 02:15:12.918
study

3085
02:15:12.960 --> 02:15:15.672
how to speak study how to

3086
02:15:15.653 --> 02:15:18.350
read study how to write first

3087
02:15:18.341 --> 02:15:20.317
before get to the normal school

3088
02:15:20.261 --> 02:15:20.515

3089
02:15:20.654 --> 02:15:21.573
so

3090
02:15:21.611 --> 02:15:23.634
we try to push

3091
02:15:23.661 --> 02:15:24.949
everything

3092
02:15:25.134 --> 02:15:28.247
even the to go to talking with the

3093
02:15:28.405 --> 02:15:32.706
uh this is the governor of Bangkok home Metro

3094
02:15:32.623 --> 02:15:34.974
I will Association go to

3095
02:15:34.681 --> 02:15:40.074
meeting with them that's hey we know there are many many school the families who

3096
02:15:39.933 --> 02:15:42.364
under the Bangkok metal present

3097
02:15:42.361 --> 02:15:44.089
already check the

3098
02:15:43.907 --> 02:15:45.578
always check the children

3099
02:15:45.505 --> 02:15:47.342
that doing the calculating time

3100
02:15:47.173 --> 02:15:47.649

3101
02:15:48.323 --> 02:15:54.373
so we just talk with them hey can you do uh like a project of the C

3102
02:15:54.092 --> 02:15:54.369

3103
02:15:54.411 --> 02:15:58.573
for the cocking pain children until that the Lord May

3104
02:15:58.573 --> 02:16:01.729
uh Mr chat right now he

3105
02:16:01.843 --> 02:16:07.490
uh he commit to us and doing the project that the reject uh zero reject

3106
02:16:07.440 --> 02:16:12.299
the cocreate plan of uh of the primary school Under the Bangkok rate of return

3107
02:16:12.542 --> 02:16:14.474
uh

3108
02:16:14.393 --> 02:16:15.632
also

3109
02:16:15.874 --> 02:16:16.140

3110
02:16:16.381 --> 02:16:20.963
uh we we are try to uh make

3111
02:16:20.931 --> 02:16:23.137
our our own project

3112
02:16:23.362 --> 02:16:27.243
under under the how to say under the support

3113
02:16:27.142 --> 02:16:32.108
from uh debt Foundation Dr Mallika that we open our

3114
02:16:32.211 --> 02:16:35.641
ABT not ABT the speed Therapy Center

3115
02:16:35.793 --> 02:16:37.868
in our association

3116
02:16:37.901 --> 02:16:38.097

3117
02:16:38.101 --> 02:16:39.847
offer to all the children

3118
02:16:39.962 --> 02:16:43.648
or uh just doing the calculator and

3119
02:16:43.542 --> 02:16:45.718
need to study to

3120
02:16:45.662 --> 02:16:46.781
to speak

3121
02:16:46.811 --> 02:16:47.010

3122
02:16:47.193 --> 02:16:50.388
so they can come to our association every Saturday

3123
02:16:50.275 --> 02:16:51.554
free of charge

3124
02:16:51.551 --> 02:16:53.025
this kind of thing that

3125
02:16:53.093 --> 02:16:53.434

3126
02:16:53.544 --> 02:16:58.887
uh we our association we have we can we we can support right now but

3127
02:16:58.982 --> 02:17:02.065
a problem another problem that after we talked with the

3128
02:17:02.124 --> 02:17:02.935
uh

3129
02:17:03.081 --> 02:17:05.092
depth Foundation that

3130
02:17:05.331 --> 02:17:08.757
right now in Thailand we don't have much for the speech therapy

3131
02:17:08.595 --> 02:17:08.839

3132
02:17:08.851 --> 02:17:10.399
so we have to set up

3133
02:17:10.382 --> 02:17:12.726
the avt center

3134
02:17:12.764 --> 02:17:13.938
and the

3135
02:17:13.913 --> 02:17:15.971
uh all the people

3136
02:17:16.095 --> 02:17:21.988
to know all the teacher specialized teacher how to know uh to know how to

3137
02:17:21.794 --> 02:17:22.685

3138
02:17:22.822 --> 02:17:25.169
uh the cock in pan children

3139
02:17:25.182 --> 02:17:30.775
this is the project for the future and yesterday that's we went to the

3140
02:17:30.631 --> 02:17:34.152
hospital so I had to talk with them

3141
02:17:34.222 --> 02:17:40.079
because of what she like uh hospital they going to be start from uh they are going to be start

3142
02:17:40.116 --> 02:17:45.595
support check I had the first project for like a center and also talk with

3143
02:17:45.364 --> 02:17:46.376
uh

3144
02:17:46.332 --> 02:17:49.035

3145
02:17:49.021 --> 02:17:52.778
we are try to uh

3146
02:17:52.601 --> 02:17:54.316
not only how to say

3147
02:17:54.463 --> 02:17:58.349
uh try to ask all the pilots of the children

3148
02:17:58.372 --> 02:18:01.792
who did the clay in pan come to learn also

3149
02:18:02.223 --> 02:18:06.053
this is uh the the thing that uh our association

3150
02:18:05.864 --> 02:18:10.756
uh we're going to do in the future so uh

3151
02:18:13.050 --> 02:18:13.333

3152
02:18:13.871 --> 02:18:18.653
so that's all I will Association we are doing thank you

3153
02:18:18.942 --> 02:18:22.163

3154
02:18:22.334 --> 02:18:22.606

3155
02:18:23.483 --> 02:18:23.747

3156
02:18:24.384 --> 02:18:24.629

3157
02:18:24.502 --> 02:18:24.748

3158
02:18:25.216 --> 02:18:25.440

3159
02:18:25.403 --> 02:18:25.804

3160
02:18:25.783 --> 02:18:26.041

3161
02:18:25.924 --> 02:18:26.264

3162
02:18:26.302 --> 02:18:26.585

3163
02:18:26.752 --> 02:18:27.177

3164
02:18:26.941 --> 02:18:29.311
thank you very much and Steve

3165
02:18:31.872 --> 02:18:32.801
thank you

3166
02:18:32.835 --> 02:18:33.311

3167
02:18:33.341 --> 02:18:33.634

3168
02:18:33.984 --> 02:18:34.171

3169
02:18:35.852 --> 02:18:36.131

3170
02:18:36.171 --> 02:18:36.772

3171
02:18:36.872 --> 02:18:37.560

3172
02:18:38.357 --> 02:18:38.574

3173
02:18:38.541 --> 02:18:40.083

3174
02:18:40.013 --> 02:18:41.837
contact

3175
02:18:41.864 --> 02:18:42.596

3176
02:18:42.701 --> 02:18:43.116

3177
02:18:43.152 --> 02:18:43.413

3178
02:18:43.283 --> 02:18:43.560

3179
02:18:43.667 --> 02:18:43.929

3180
02:18:43.983 --> 02:18:44.274

3181
02:18:44.690 --> 02:18:44.965

3182
02:18:45.014 --> 02:18:45.973

3183
02:18:47.184 --> 02:18:47.659

3184
02:18:48.285 --> 02:18:48.488

3185
02:18:48.782 --> 02:18:49.071

3186
02:18:49.042 --> 02:18:49.577

3187
02:18:49.552 --> 02:18:50.557

3188
02:18:51.034 --> 02:18:51.277

3189
02:18:51.485 --> 02:18:51.675

3190
02:18:51.742 --> 02:18:51.989

3191
02:18:52.122 --> 02:18:52.371

3192
02:18:52.443 --> 02:18:53.110

3193
02:18:53.342 --> 02:18:53.862
this

3194
02:18:54.553 --> 02:18:54.788

3195
02:18:55.191 --> 02:18:55.542

3196
02:18:55.642 --> 02:18:55.865

3197
02:18:56.222 --> 02:18:56.506

3198
02:18:56.472 --> 02:18:56.720

3199
02:18:56.663 --> 02:18:56.883

3200
02:18:56.862 --> 02:18:57.104

3201
02:18:57.637 --> 02:18:58.023

3202
02:18:58.392 --> 02:18:59.244

3203
02:18:59.235 --> 02:19:00.098

3204
02:19:00.385 --> 02:19:00.658

3205
02:19:01.664 --> 02:19:01.904

3206
02:19:03.585 --> 02:19:03.985

3207
02:19:04.162 --> 02:19:06.358
okay uh

3208
02:19:10.186 --> 02:19:13.545
from China via Zoom Dr tatone are you

3209
02:19:13.643 --> 02:19:16.615
in Zoom right now can we see you yes

3210
02:19:16.593 --> 02:19:19.642
yes I will

3211
02:19:19.542 --> 02:19:19.990

3212
02:19:21.262 --> 02:19:26.609
oh great so how are you good thank you

3213
02:19:26.713 --> 02:19:29.638
yeah I will share my slide now

3214
02:19:29.462 --> 02:19:29.807

3215
02:19:31.774 --> 02:19:32.392

3216
02:19:34.212 --> 02:19:39.832
can you see me my my my slide yes yes you can see your slide in here as well audio is very

3217
02:19:39.784 --> 02:19:40.460
thank you

3218
02:19:40.743 --> 02:19:45.836
okay thank you so my name is I am

3219
02:19:45.743 --> 02:19:48.453
dat 30 and add content University

3220
02:19:48.623 --> 02:19:51.599
sorry that I can join the meeting

3221
02:19:51.574 --> 02:19:56.266
website because uh today is my outpatient clinic

3222
02:19:56.183 --> 02:19:59.038
is 5 BC to to

3223
02:19:59.005 --> 02:20:01.593
to to travel to Bangkok

3224
02:20:01.506 --> 02:20:02.657
anyway

3225
02:20:02.713 --> 02:20:07.829
uh What uh is it my partner to to be speaking

3226
02:20:07.924 --> 02:20:13.419
for this for this conference uh my title today is from

3227
02:20:13.862 --> 02:20:15.523
ing to learning

3228
02:20:15.593 --> 02:20:21.341
from the uh educational outcomes in their children both corporate

3229
02:20:20.842 --> 02:20:21.987
implantation

3230
02:20:22.831 --> 02:20:24.710
so

3231
02:20:27.777 --> 02:20:28.007

3232
02:20:28.142 --> 02:20:33.483
we know that uh the hearing loss is uh By Appointment problem

3233
02:20:34.232 --> 02:20:37.349
up from the data from the BHO

3234
02:20:37.776 --> 02:20:43.662
uh they found that uh over 1.5 billion people worldwide is have

3235
02:20:43.844 --> 02:20:45.532
some degree of

3236
02:20:45.577 --> 02:20:47.142
having impairment

3237
02:20:47.504 --> 02:20:47.752

3238
02:20:48.155 --> 02:20:48.423

3239
02:20:49.293 --> 02:20:52.259
and in Thailand we also have a study

3240
02:20:52.363 --> 02:20:56.896
uh this uh significant study is conducted by

3241
02:20:57.175 --> 02:20:59.354
for faster

3242
02:20:59.544 --> 02:21:00.379

3243
02:21:00.625 --> 02:21:05.158
uh she uh contact the uh survey in in

3244
02:21:04.982 --> 02:21:09.328
not only in Bangkok but but in the rural area also

3245
02:21:09.533 --> 02:21:11.255
too far that

3246
02:21:11.582 --> 02:21:12.930
in Bangkok

3247
02:21:12.863 --> 02:21:13.802
uh

3248
02:21:13.826 --> 02:21:16.916
3.55 of the

3249
02:21:17.027 --> 02:21:18.320
population

3250
02:21:18.304 --> 02:21:19.773
have

3251
02:21:19.853 --> 02:21:23.377
that's already near say neural

3252
02:21:23.432 --> 02:21:26.364
and file that in the rural area

3253
02:21:26.505 --> 02:21:28.884
the the incident is increasing

3254
02:21:28.694 --> 02:21:30.264
2356

3255
02:21:31.183 --> 02:21:33.743
and so uh in this study

3256
02:21:33.875 --> 02:21:37.398
say that

3257
02:21:37.346 --> 02:21:40.307
the the real different environments

3258
02:21:40.283 --> 02:21:42.632
in Thailand should be around

3259
02:21:42.715 --> 02:21:44.590
2.5

3260
02:21:44.583 --> 02:21:45.677
5%

3261
02:21:45.734 --> 02:21:49.404
operation is that if like surprising time

3262
02:21:50.214 --> 02:21:50.459

3263
02:21:50.665 --> 02:21:56.081
and uh from the previous uh presenter we we already know about the

3264
02:21:56.103 --> 02:21:59.676
operating implant uh the cockran time is the

3265
02:22:00.025 --> 02:22:03.985
uh surgically implant electronic device

3266
02:22:04.114 --> 02:22:09.087
that uh that the 13th insert into the inner ear to let the

3267
02:22:09.053 --> 02:22:10.922
the deaf patient

3268
02:22:11.614 --> 02:22:14.367
looking at again but it is not all

3269
02:22:14.365 --> 02:22:16.505
necessary is not all

3270
02:22:16.865 --> 02:22:19.761
we need to do the rehabilitation

3271
02:22:20.002 --> 02:22:21.555
after the surgery

3272
02:22:21.983 --> 02:22:22.244

3273
02:22:22.373 --> 02:22:22.641

3274
02:22:22.621 --> 02:22:22.874

3275
02:22:23.202 --> 02:22:26.109
it is the

3276
02:22:26.472 --> 02:22:30.703
what we have try to do in in

3277
02:22:30.574 --> 02:22:31.871
in previous

3278
02:22:31.784 --> 02:22:33.482
10 years ago

3279
02:22:33.398 --> 02:22:35.542
is the we try to

3280
02:22:35.765 --> 02:22:40.360
have a great day we call this regret the co-creating primary disease

3281
02:22:40.244 --> 02:22:41.607
of Thailand

3282
02:22:41.916 --> 02:22:45.785
it is the National Database that collect data

3283
02:22:45.886 --> 02:22:46.738

3284
02:22:46.715 --> 02:22:47.946
in the

3285
02:22:48.137 --> 02:22:50.511
University Hospital

3286
02:22:50.434 --> 02:22:51.779
that

3287
02:22:52.166 --> 02:22:52.378

3288
02:22:52.804 --> 02:22:56.293
performed the corporate impact surgery and collect data

3289
02:22:56.194 --> 02:22:57.755
from

3290
02:22:58.006 --> 02:23:02.098
past 10 years we have in this we can see we have

3291
02:23:02.794 --> 02:23:04.103
the

3292
02:23:04.392 --> 02:23:06.897
the database around 500

3293
02:23:06.965 --> 02:23:09.101
uh patient in District

3294
02:23:10.803 --> 02:23:14.879
uh for the outcome that we have a published in

3295
02:23:14.786 --> 02:23:15.048

3296
02:23:15.223 --> 02:23:17.677
2021

3297
02:23:17.723 --> 02:23:23.032
we found that this is the surgical Improvement we found that the killing level

3298
02:23:23.106 --> 02:23:24.503
technically

3299
02:23:24.454 --> 02:23:25.363
improve

3300
02:23:25.472 --> 02:23:28.320
and we also found that the speech

3301
02:23:28.423 --> 02:23:30.789
mailing level is also improved

3302
02:23:30.985 --> 02:23:32.084
also

3303
02:23:34.765 --> 02:23:36.064
that

3304
02:23:36.042 --> 02:23:36.241

3305
02:23:36.685 --> 02:23:39.654
uh that is the surgical outcome

3306
02:23:39.823 --> 02:23:43.251
we don't know about after the surgery

3307
02:23:43.735 --> 02:23:47.609
what is the learning outcome of the patient

3308
02:23:48.169 --> 02:23:54.097
so as we already have the registry

3309
02:23:53.214 --> 02:23:56.713
so we try to use

3310
02:23:56.673 --> 02:23:58.510
uh existing

3311
02:23:59.554 --> 02:24:02.404
to collect the data about the

3312
02:24:03.273 --> 02:24:05.542
the academic performance

3313
02:24:05.642 --> 02:24:08.211
of this patient so

3314
02:24:08.906 --> 02:24:13.881
so the objective of this this study is to

3315
02:24:14.104 --> 02:24:15.374

3316
02:24:15.313 --> 02:24:18.208
welcome of the learning of the pages

3317
02:24:20.521 --> 02:24:22.423
we collect

3318
02:24:22.554 --> 02:24:26.397
the participant from for

3319
02:24:26.588 --> 02:24:29.118
for University contact University

3320
02:24:29.225 --> 02:24:34.284
and we got

3321
02:24:34.143 --> 02:24:38.742
for 47 participants that uh

3322
02:24:38.123 --> 02:24:40.944
that uh agree to participate in

3323
02:24:41.193 --> 02:24:42.956
in the data collection

3324
02:24:45.234 --> 02:24:45.500

3325
02:24:46.193 --> 02:24:50.842
this is the uh H group of the patient that

3326
02:24:50.825 --> 02:24:54.976
agree to pass the pair most of the patient is in the

3327
02:24:55.507 --> 02:24:57.466
early Year from

3328
02:24:57.293 --> 02:24:57.586

3329
02:24:57.482 --> 02:24:58.733
22

3330
02:24:58.633 --> 02:24:59.693
and

3331
02:24:59.594 --> 02:25:00.374

3332
02:25:00.374 --> 02:25:02.249
the next half is from

3333
02:25:02.933 --> 02:25:05.945
12 18 and more than 18

3334
02:25:08.907 --> 02:25:09.173

3335
02:25:09.212 --> 02:25:09.446

3336
02:25:09.724 --> 02:25:14.521
and the female and male is quite far

3337
02:25:14.463 --> 02:25:16.290
50 and 47

3338
02:25:17.283 --> 02:25:17.526

3339
02:25:18.053 --> 02:25:18.334

3340
02:25:18.882 --> 02:25:19.240

3341
02:25:19.262 --> 02:25:22.372
this is what we found from the

3342
02:25:22.593 --> 02:25:26.152
that that current uh GPA

3343
02:25:26.182 --> 02:25:30.237
most of the patient have the GPS

3344
02:25:30.475 --> 02:25:33.031
around 3 to 4

3345
02:25:33.943 --> 02:25:35.263
then

3346
02:25:35.282 --> 02:25:37.150
some of them have

3347
02:25:37.395 --> 02:25:41.424
the TVA from 2 to 3 and

3348
02:25:41.701 --> 02:25:45.565
only a small portion allow 20% have

3349
02:25:45.732 --> 02:25:48.513
the GPA that is not not quite good

3350
02:25:50.032 --> 02:25:55.370
when we as as the uh ml

3351
02:25:55.476 --> 02:25:59.311
we also file file that most of the patient is

3352
02:25:59.703 --> 02:26:01.852
is quite good at Learning

3353
02:26:04.633 --> 02:26:04.846

3354
02:26:05.394 --> 02:26:07.479
so we

3355
02:26:07.394 --> 02:26:12.719
try to use that that TVA pi to during knowing the

3356
02:26:12.970 --> 02:26:15.512
vacation Model 25

3357
02:26:15.393 --> 02:26:16.067

3358
02:26:16.231 --> 02:26:22.123
for from the 77 patient if they have some of the significant

3359
02:26:21.925 --> 02:26:23.004
factor that

3360
02:26:23.274 --> 02:26:24.127
that

3361
02:26:24.233 --> 02:26:26.708
affect the GPA

3362
02:26:27.246 --> 02:26:30.590
he found that only the

3363
02:26:31.282 --> 02:26:32.681
Olive and Factor

3364
02:26:33.332 --> 02:26:36.873
that at the communication method that

3365
02:26:36.914 --> 02:26:37.429

3366
02:26:37.434 --> 02:26:40.323
that is the significant factor for

3367
02:26:40.833 --> 02:26:44.008
to be uh better learn learn

3368
02:26:46.521 --> 02:26:51.842
for the fact getting a intelligent level cap score

3369
02:26:52.102 --> 02:26:55.894
body attending method it's called for training

3370
02:26:55.882 --> 02:26:58.438
Guardian a number of families

3371
02:26:58.586 --> 02:27:03.668
member death family member type of school and this time of

3372
02:27:03.703 --> 02:27:06.033
is not significant

3373
02:27:06.196 --> 02:27:08.777
but uh I would like to say that

3374
02:27:08.822 --> 02:27:10.951
this is the

3375
02:27:11.065 --> 02:27:14.220
eliminate the data from from only

3376
02:27:14.654 --> 02:27:16.669
less than 100 patient

3377
02:27:16.634 --> 02:27:20.963
so uh it may be significant if we

3378
02:27:20.995 --> 02:27:23.511
contact the larger

3379
02:27:23.365 --> 02:27:24.934
study population

3380
02:27:27.073 --> 02:27:32.564
so uh what if can can what we can conclude from this stat

3381
02:27:32.333 --> 02:27:33.084

3382
02:27:33.422 --> 02:27:38.092
uh this is uh just a preliminary data that you saw that

3383
02:27:38.103 --> 02:27:41.893
uh the patient in in our registry is

3384
02:27:41.815 --> 02:27:44.468
put in at Learning

3385
02:27:43.601 --> 02:27:48.291
and file also file that is uh communication working language

3386
02:27:48.091 --> 02:27:49.813
communication is

3387
02:27:49.884 --> 02:27:53.603
the factor that it contribute to improved public

3388
02:27:53.416 --> 02:27:55.041
academic performance

3389
02:27:56.102 --> 02:27:56.832

3390
02:27:56.802 --> 02:27:57.937
okay

3391
02:27:57.892 --> 02:28:00.651
that is out of my presentation

3392
02:28:00.714 --> 02:28:02.526
thank you

3393
02:28:07.692 --> 02:28:07.974

3394
02:28:07.885 --> 02:28:08.285

3395
02:28:08.272 --> 02:28:13.648
thank you Dr pathan uh for your outstanding presentation thank you very much

3396
02:28:13.521 --> 02:28:13.930

3397
02:28:14.803 --> 02:28:15.168

3398
02:28:15.953 --> 02:28:16.303

3399
02:28:16.535 --> 02:28:16.733

3400
02:28:16.992 --> 02:28:17.281

3401
02:28:17.502 --> 02:28:17.999

3402
02:28:19.049 --> 02:28:19.325

3403
02:28:19.353 --> 02:28:19.634

3404
02:28:19.613 --> 02:28:20.016

3405
02:28:20.063 --> 02:28:24.735
no um our next speaker today is uh Dr

3406
02:28:24.992 --> 02:28:26.097
Jennifer

3407
02:28:26.793 --> 02:28:29.445
from uh the Philippines

3408
02:28:29.792 --> 02:28:31.745
welcome to the state

3409
02:28:32.613 --> 02:28:32.969

3410
02:28:32.934 --> 02:28:33.463

3411
02:28:33.772 --> 02:28:34.197

3412
02:28:34.354 --> 02:28:36.042

3413
02:28:36.142 --> 02:28:36.368

3414
02:28:36.714 --> 02:28:36.984

3415
02:28:37.292 --> 02:28:37.533

3416
02:28:37.485 --> 02:28:37.675

3417
02:28:38.192 --> 02:28:38.455

3418
02:28:38.328 --> 02:28:39.182

3419
02:28:39.153 --> 02:28:39.526

3420
02:28:39.472 --> 02:28:42.554

3421
02:28:42.803 --> 02:28:43.069

3422
02:28:43.122 --> 02:28:43.376

3423
02:28:43.636 --> 02:28:43.881

3424
02:28:44.022 --> 02:28:44.320

3425
02:28:44.152 --> 02:28:44.368

3426
02:28:44.591 --> 02:28:44.801

3427
02:28:44.793 --> 02:28:44.982

3428
02:28:44.986 --> 02:28:45.317

3429
02:28:45.872 --> 02:28:46.602

3430
02:28:47.035 --> 02:28:47.291

3431
02:28:47.222 --> 02:28:47.468

3432
02:28:47.412 --> 02:28:47.698

3433
02:28:47.671 --> 02:28:48.699

3434
02:28:49.337 --> 02:28:49.950

3435
02:28:51.003 --> 02:28:51.276

3436
02:28:51.511 --> 02:28:51.710

3437
02:28:52.413 --> 02:28:52.687

3438
02:28:52.791 --> 02:28:52.980

3439
02:28:52.922 --> 02:28:53.202

3440
02:28:53.373 --> 02:28:53.727

3441
02:28:53.692 --> 02:28:54.096

3442
02:28:54.911 --> 02:28:55.255

3443
02:28:55.993 --> 02:28:56.262

3444
02:28:56.191 --> 02:28:56.427

3445
02:28:56.572 --> 02:28:56.854

3446
02:28:56.832 --> 02:28:57.094

3447
02:28:58.242 --> 02:28:58.429

3448
02:28:58.451 --> 02:28:58.787

3449
02:28:58.754 --> 02:28:59.480

3450
02:28:59.522 --> 02:28:59.782

3451
02:28:59.841 --> 02:29:00.252

3452
02:29:00.423 --> 02:29:00.708

3453
02:29:00.741 --> 02:29:00.993

3454
02:29:00.933 --> 02:29:01.212

3455
02:29:01.192 --> 02:29:01.986

3456
02:29:02.084 --> 02:29:03.130

3457
02:29:03.433 --> 02:29:03.628

3458
02:29:03.754 --> 02:29:04.498

3459
02:29:04.711 --> 02:29:06.471

3460
02:29:06.512 --> 02:29:07.249

3461
02:29:07.272 --> 02:29:07.532

3462
02:29:07.533 --> 02:29:09.672

3463
02:29:09.711 --> 02:29:09.919

3464
02:29:10.032 --> 02:29:10.303

3465
02:29:10.411 --> 02:29:10.667

3466
02:29:10.991 --> 02:29:11.352

3467
02:29:11.312 --> 02:29:11.505

3468
02:29:11.432 --> 02:29:12.555

3469
02:29:12.522 --> 02:29:13.156

3470
02:29:13.105 --> 02:29:13.324

3471
02:29:13.292 --> 02:29:16.898

3472
02:29:17.011 --> 02:29:17.262

3473
02:29:17.204 --> 02:29:17.453

3474
02:29:17.522 --> 02:29:19.080

3475
02:29:19.122 --> 02:29:19.371

3476
02:29:19.632 --> 02:29:21.199

3477
02:29:21.361 --> 02:29:23.689

3478
02:29:24.062 --> 02:29:26.053

3479
02:29:25.981 --> 02:29:27.296

3480
02:29:30.613 --> 02:29:32.061

3481
02:29:44.376 --> 02:29:44.968

3482
02:29:44.942 --> 02:29:47.566

3483
02:29:47.703 --> 02:29:49.813

3484
02:29:53.203 --> 02:29:53.838

3485
02:29:53.782 --> 02:29:56.551

3486
02:29:56.473 --> 02:30:01.710

3487
02:30:01.853 --> 02:30:02.884

3488
02:30:07.043 --> 02:30:07.949
point out

3489
02:30:07.874 --> 02:30:10.685
today you got a very interesting experience

3490
02:30:10.952 --> 02:30:15.222
uh at 1:00 you got to got to see Dr Basa

3491
02:30:15.111 --> 02:30:17.105
as a a specialist

3492
02:30:17.101 --> 02:30:18.885
how she's teaching

3493
02:30:18.951 --> 02:30:21.112
a cock implanted kits

3494
02:30:21.143 --> 02:30:27.363
then you got to see the real thing which these presentation how his child is with the cock leaving a

3495
02:30:27.093 --> 02:30:28.338
totally normal life

3496
02:30:28.195 --> 02:30:28.432

3497
02:30:28.526 --> 02:30:33.975
and then to end it we have Dr pathan talking about cock plans are you getting from the medical

3498
02:30:33.826 --> 02:30:34.520
you

3499
02:30:34.526 --> 02:30:38.812
getting from the parent view getting from a specialist view so it's

3500
02:30:38.882 --> 02:30:40.508
complete package today

3501
02:30:40.551 --> 02:30:44.628
so I think we were very lucky today now don't you agree Dr maliwan

3502
02:30:44.524 --> 02:30:46.297
should I call you Dr Mallika

3503
02:30:46.251 --> 02:30:48.886

3504
02:30:49.001 --> 02:30:49.288

3505
02:30:49.393 --> 02:30:49.736

3506
02:30:50.152 --> 02:30:50.388

3507
02:30:50.412 --> 02:30:50.844

3508
02:30:50.794 --> 02:30:51.562

3509
02:30:52.396 --> 02:30:52.630

3510
02:30:52.651 --> 02:30:53.325

3511
02:30:53.873 --> 02:30:56.237

3512
02:30:56.694 --> 02:30:56.915

3513
02:30:57.331 --> 02:30:57.870

3514
02:30:57.972 --> 02:30:59.408
okay

3515
02:30:59.253 --> 02:30:59.501

3516
02:31:03.674 --> 02:31:03.894

3517
02:31:03.873 --> 02:31:04.154

3518
02:31:04.513 --> 02:31:07.029

3519
02:31:07.002 --> 02:31:07.290

3520
02:31:07.713 --> 02:31:07.997

3521
02:31:08.474 --> 02:31:09.082

3522
02:31:09.052 --> 02:31:09.534

3523
02:31:10.914 --> 02:31:11.319

3524
02:31:13.352 --> 02:31:13.601

3525
02:31:13.794 --> 02:31:14.083

3526
02:31:14.695 --> 02:31:14.919

3527
02:31:14.882 --> 02:31:15.089

3528
02:31:15.146 --> 02:31:15.733

3529
02:31:15.715 --> 02:31:16.073

3530
02:31:16.231 --> 02:31:17.630

3531
02:31:19.181 --> 02:31:19.400

3532
02:31:19.433 --> 02:31:19.687

3533
02:31:20.654 --> 02:31:20.925

3534
02:31:21.163 --> 02:31:21.433

3535
02:31:21.745 --> 02:31:24.450
okay we're ready Dr Jen

3536
02:31:43.537 --> 02:31:45.699
good afternoon everyone

3537
02:31:48.071 --> 02:31:53.562
I'm a faculty member at the essential University College of Optometry in the Philippines

3538
02:31:54.093 --> 02:31:55.465
and I'm here

3539
02:31:55.821 --> 02:32:01.603
to present an ongoing collaborative case study with Dr Seline feeble Conte

3540
02:32:01.144 --> 02:32:02.687
entitled

3541
02:32:02.991 --> 02:32:07.412
apologetic in developmental case study of a child with autism

3542
02:32:07.872 --> 02:32:11.924
understanding developmental challenges and interventions

3543
02:32:12.671 --> 02:32:12.923

3544
02:32:13.822 --> 02:32:14.027

3545
02:32:14.072 --> 02:32:17.610
according to World Health Organization

3546
02:32:17.600 --> 02:32:21.688
autism spectrum disorders are a diverse group of conditions

3547
02:32:22.341 --> 02:32:27.692
they are characterized by some degree of difficulty with social interactions and communication

3548
02:32:28.765 --> 02:32:32.237
and about 1 in 100 children has autism

3549
02:32:32.792 --> 02:32:36.651
in the Philippines according to Autism Society Philippines

3550
02:32:37.334 --> 02:32:41.036
also 1 in 100 Filipino childrens

3551
02:32:41.053 --> 02:32:43.109
are on the autism spectrum

3552
02:32:43.672 --> 02:32:46.962
translates approximately 1.2 million

3553
02:32:47.003 --> 02:32:48.034
Filipinos

3554
02:32:48.554 --> 02:32:48.812

3555
02:32:48.742 --> 02:32:49.658

3556
02:32:49.571 --> 02:32:52.152
as an optometrist um

3557
02:32:52.191 --> 02:32:57.722
I know how important to understand how to deal with different types of patients with

3558
02:32:57.584 --> 02:32:58.907
and conditions

3559
02:32:59.503 --> 02:32:59.727

3560
02:32:59.636 --> 02:33:03.044
and um autism is 1 of them

3561
02:33:03.721 --> 02:33:03.940

3562
02:33:04.185 --> 02:33:04.468

3563
02:33:04.435 --> 02:33:09.143
assessing them with the primary goal of improving their quality of life

3564
02:33:10.453 --> 02:33:14.990
enhancing their cooperation during assessment and evaluation

3565
02:33:14.942 --> 02:33:15.244

3566
02:33:15.261 --> 02:33:21.117
to get the most accurate result possible and to provide them with the best

3567
02:33:21.034 --> 02:33:22.183
proper management

3568
02:33:22.754 --> 02:33:27.992
it also promotes inclusivity and equitability

3569
02:33:28.137 --> 02:33:30.506
because everyone has the right to

3570
02:33:31.854 --> 02:33:33.603
quality I Healthcare

3571
02:33:34.411 --> 02:33:37.498
the case study that I'm about to present

3572
02:33:39.792 --> 02:33:41.429
comprehensive assessment

3573
02:33:41.335 --> 02:33:43.128
change his name with autism

3574
02:33:42.991 --> 02:33:43.255

3575
02:33:43.254 --> 02:33:46.956
to identify not only developmental delays

3576
02:33:46.712 --> 02:33:49.496
but also how visual Behavior

3577
02:33:49.343 --> 02:33:51.396
affects overall learning

3578
02:33:51.322 --> 02:33:52.574
and interaction

3579
02:33:52.923 --> 02:33:53.223

3580
02:33:58.055 --> 02:34:03.248
for the patient's profile or CVS a 4-year-old and 4 month

3581
02:34:03.111 --> 02:34:06.481
both meal residing in Venezuela City Philippines

3582
02:34:06.891 --> 02:34:12.388
he underwent his first comprehensive I envisioned examination due to concerns trees

3583
02:34:12.026 --> 02:34:13.529
his grandmother

3584
02:34:14.262 --> 02:34:19.512
it's gone by the reported that the child has always watches very near the television

3585
02:34:19.393 --> 02:34:19.662

3586
02:34:19.581 --> 02:34:21.425
and has 4 eye contact

3587
02:34:23.674 --> 02:34:23.934

3588
02:34:24.704 --> 02:34:30.274
he was born on April 1513 on full-term via cesarean section with no

3589
02:34:30.152 --> 02:34:31.616
started complication

3590
02:34:32.132 --> 02:34:32.425

3591
02:34:32.710 --> 02:34:38.488
the patient is primarily cared for by his grandmother after his parents separated

3592
02:34:38.222 --> 02:34:40.099
said when he was 1 year old

3593
02:34:40.204 --> 02:34:45.476
and his grandmother lacks details on maternal Health practices during pregnancy

3594
02:34:46.552 --> 02:34:51.120
for the early developmental concerns the grandmother

3595
02:34:51.351 --> 02:34:51.653

3596
02:34:51.552 --> 02:34:56.139
reported that she observed significant speech delays

3597
02:34:56.151 --> 02:34:59.465
no thing that he was not the patient is not talking

3598
02:34:59.362 --> 02:35:00.751
by the age of 2

3599
02:35:01.476 --> 02:35:06.880
despite the initial denial by his parents the grandmother insisted on Consulting

3600
02:35:06.725 --> 02:35:09.516
education regarding the patient

3601
02:35:09.293 --> 02:35:10.865
unusual behaviors

3602
02:35:13.001 --> 02:35:13.253

3603
02:35:13.393 --> 02:35:18.136
in May 2017 the patient was diagnosed with autism

3604
02:35:18.133 --> 02:35:23.332
switch delay and communication disorder by a behavioral pediatrician

3605
02:35:23.776 --> 02:35:29.084
he's currently enrolled in a special education School in an apple Learning Center

3606
02:35:29.662 --> 02:35:32.977
reflecting his need for the Lord educational support

3607
02:35:36.078 --> 02:35:41.378
according to his grandmother the patient exhibits 4 eye contact

3608
02:35:41.262 --> 02:35:45.447
prefer solitary play and is drawn to repetitive movements

3609
02:35:45.612 --> 02:35:45.901

3610
02:35:46.513 --> 02:35:52.476
his communication is limited although he has shown improvement with speech therapy verbalizing more

3611
02:35:52.401 --> 02:35:52.999

3612
02:35:53.175 --> 02:35:55.793
since his enrollment in educational programs

3613
02:35:59.786 --> 02:36:00.029

3614
02:36:00.152 --> 02:36:00.506

3615
02:36:00.545 --> 02:36:00.756

3616
02:36:01.632 --> 02:36:01.835

3617
02:36:02.521 --> 02:36:05.616
during his visit in the clinic

3618
02:36:05.732 --> 02:36:11.231
it is very um evident that the patient exhibits significant difficulty making

3619
02:36:11.113 --> 02:36:12.113
my contact

3620
02:36:12.524 --> 02:36:12.741

3621
02:36:12.712 --> 02:36:18.006
often staring at certain objects or patterns instead of engaging with people

3622
02:36:19.195 --> 02:36:24.950
upon conducting tests that needs illumination the patient exhibits sensitivity to light

3623
02:36:25.522 --> 02:36:31.332
is pushing or rubbing his eyes and shows fascination with lights and shadows

3624
02:36:31.101 --> 02:36:34.247
indicating possible sensory integration challenges

3625
02:36:34.945 --> 02:36:35.169

3626
02:36:35.194 --> 02:36:35.594

3627
02:36:36.352 --> 02:36:41.788
the patient also demonstrates restrictive and repetitive Behavior such as fixed

3628
02:36:41.601 --> 02:36:43.190
on moving objects

3629
02:36:43.201 --> 02:36:45.654
you're engaging in repetitive motions

3630
02:36:45.582 --> 02:36:48.825
this behavior is reflexes need for your team

3631
02:36:48.782 --> 02:36:52.400
predictability which is typical in autism spectrum disorder

3632
02:36:53.071 --> 02:36:53.308

3633
02:36:54.800 --> 02:37:00.125
these are some of the actual response of the patient during the assessment

3634
02:37:01.335 --> 02:37:06.798
um he becomes upset with slight changes in routine or he makes little or inconsistent

3635
02:37:06.521 --> 02:37:07.817
I contact

3636
02:37:07.871 --> 02:37:12.062
ombre shares enjoyment by pointing out or show showing things

3637
02:37:11.972 --> 02:37:12.221

3638
02:37:12.104 --> 02:37:12.388

3639
02:37:12.292 --> 02:37:13.768
and the others

3640
02:37:14.472 --> 02:37:14.723

3641
02:37:15.872 --> 02:37:21.206
for the assessment results we use The Shining Oak assessment tool which is standard

3642
02:37:21.134 --> 02:37:23.512
adopted for Filipino children

3643
02:37:23.563 --> 02:37:29.117
to assess growth and developmental Milestones which comes from civilian Asia Institute

3644
02:37:29.405 --> 02:37:34.317
which consists of or assess 5 domains which is the motor cognitive language

3645
02:37:34.191 --> 02:37:36.049
self-help and socialization

3646
02:37:35.933 --> 02:37:36.388
deals

3647
02:37:37.022 --> 02:37:40.055
for the motor skills evaluation

3648
02:37:40.792 --> 02:37:46.229
the patient demonstrated significant limitations in motor skills achieving only 2 out of

3649
02:37:46.112 --> 02:37:47.935
16 essential tasks

3650
02:37:47.711 --> 02:37:48.568
such

3651
02:37:48.553 --> 02:37:50.834
working in a balance beam

3652
02:37:50.853 --> 02:37:52.125
jumping

3653
02:37:52.141 --> 02:37:54.989
um forward 10 times

3654
02:37:55.153 --> 02:37:56.497
without falling

3655
02:37:56.436 --> 02:37:56.664

3656
02:37:56.941 --> 02:37:57.172

3657
02:37:57.323 --> 02:37:57.582

3658
02:37:57.585 --> 02:37:57.927

3659
02:37:58.285 --> 02:38:03.938
results in performance rating of 12.5% and this indicates a critical

3660
02:38:03.672 --> 02:38:06.291
need for targeted interventions

3661
02:38:05.841 --> 02:38:08.422
to enhance his growth and fine motor ability

3662
02:38:08.287 --> 02:38:08.588

3663
02:38:11.687 --> 02:38:12.043

3664
02:38:11.933 --> 02:38:15.453
for the cognitive skills assessment

3665
02:38:17.512 --> 02:38:19.530
22 cognitive skills

3666
02:38:20.261 --> 02:38:20.598

3667
02:38:20.582 --> 02:38:25.819
which consists of picking up specified number of objects requested

3668
02:38:25.831 --> 02:38:28.405
copying triangle let's just work

3669
02:38:28.205 --> 02:38:29.321
requested

3670
02:38:29.673 --> 02:38:32.278
the patient show difficulties in

3671
02:38:32.242 --> 02:38:35.979
in structured thinking and task completion

3672
02:38:36.156 --> 02:38:40.404
this cognitive abilities require nurturing through tailored

3673
02:38:40.256 --> 02:38:43.625
educational strategies and cognitive gains

3674
02:38:44.924 --> 02:38:45.180

3675
02:38:45.056 --> 02:38:48.155
for the language skills performance

3676
02:38:48.713 --> 02:38:54.345
the patients scored only 1 out of 14 in language skills it consists of caring

3677
02:38:54.022 --> 02:38:55.078
out

3678
02:38:54.981 --> 02:38:57.492
a series of 3 directions

3679
02:38:57.484 --> 02:39:00.136
telling a familiar story without

3680
02:39:00.362 --> 02:39:01.574
close

3681
02:39:01.961 --> 02:39:02.692

3682
02:39:02.674 --> 02:39:08.009
it represents 7.14% so this is a substantial deficit

3683
02:39:07.923 --> 02:39:09.496
intensive speech

3684
02:39:09.461 --> 02:39:10.561
therapy for

3685
02:39:10.358 --> 02:39:14.402
focusing on vocabulary expansion and sentence structure

3686
02:39:14.273 --> 02:39:16.036
enhancement to facilitate

3687
02:39:16.124 --> 02:39:17.705
effective communication

3688
02:39:20.286 --> 02:39:25.733
for self-help skills treating the patient managed 4 out of 20

3689
02:39:25.675 --> 02:39:27.269
test

3690
02:39:27.143 --> 02:39:29.736
buttoning and unbuttoning um

3691
02:39:29.644 --> 02:39:29.877

3692
02:39:30.152 --> 02:39:34.256
his clothing um combing his hair

3693
02:39:34.702 --> 02:39:35.169

3694
02:39:35.154 --> 02:39:40.431
so it it is a greeting to a performance rating of 17.39% and

3695
02:39:40.274 --> 02:39:43.337
and this suggests a Reliance on caregivers

3696
02:39:43.283 --> 02:39:45.822
for daily activities and emphasizes

3697
02:39:45.651 --> 02:39:46.856
the importance of

3698
02:39:46.812 --> 02:39:48.610
teaching self-care

3699
02:39:48.281 --> 02:39:49.858
self-care routines

3700
02:39:52.312 --> 02:39:57.708
for the socialization skills review the patients achieved the score of 2

3701
02:39:57.512 --> 02:40:03.094
of 9 in socialization skills such as contributing to adult conversations

3702
02:40:03.532 --> 02:40:05.480
differently to 22

3703
02:40:05.962 --> 02:40:11.525
22% so this indicates the struggles of the patients with peer interaction

3704
02:40:11.794 --> 02:40:16.583
highlighting the need for social skills training in cooperative and

3705
02:40:16.531 --> 02:40:17.664
based context

3706
02:40:17.431 --> 02:40:17.766

3707
02:40:19.885 --> 02:40:20.121

3708
02:40:20.063 --> 02:40:23.221
for the intervention plan for child with autism

3709
02:40:24.094 --> 02:40:32.164
our primary goal is of course to identify the primary problem so the primary issue identified by the patient

3710
02:40:32.032 --> 02:40:36.010
significant is the significant line language skills deficit

3711
02:40:36.201 --> 02:40:39.160
impacting his ability to communicate effectively

3712
02:40:39.546 --> 02:40:45.882
so this challenge Necessities are focused approach to facilitate language development in everyday

3713
02:40:45.813 --> 02:40:46.574
context

3714
02:40:51.011 --> 02:40:56.218
for a long-term developmental goals which focus on a long-term process

3715
02:40:56.316 --> 02:41:01.767
to achieve so it is to help the patient achieve optimal developmental milestones

3716
02:41:01.894 --> 02:41:02.224

3717
02:41:02.214 --> 02:41:02.436

3718
02:41:02.401 --> 02:41:05.530
5 areas which is again the cognitive motor

3719
02:41:05.602 --> 02:41:08.311
language self-help and socialization

3720
02:41:08.301 --> 02:41:12.063
and each area will be targeted through tailored interventions

3721
02:41:11.822 --> 02:41:14.029
aiming for each appropriate

3722
02:41:14.121 --> 02:41:15.375
capabilities

3723
02:41:15.921 --> 02:41:16.186

3724
02:41:16.433 --> 02:41:16.723

3725
02:41:19.064 --> 02:41:24.431
for the short term objectives it focuses on immediate achievement

3726
02:41:24.833 --> 02:41:30.171
the goal so it focuses it will be focusing on enhancing the patient's language

3727
02:41:30.142 --> 02:41:30.745

3728
02:41:32.193 --> 02:41:37.172
with supplementary strategies for cognitive motor self-help and social skills

3729
02:41:37.065 --> 02:41:37.473

3730
02:41:37.892 --> 02:41:43.389
so this is um to set tangible measurable objectives that will facilitate tracking

3731
02:41:43.402 --> 02:41:44.810
progress effectively

3732
02:41:44.872 --> 02:41:46.579
over at the

3733
02:41:46.542 --> 02:41:47.366
timeline

3734
02:41:48.202 --> 02:41:48.434

3735
02:41:49.703 --> 02:41:49.935

3736
02:41:49.872 --> 02:41:55.479
for the language skills top goals so it includes enabling the patient to follow

3737
02:41:55.252 --> 02:42:00.028
IAL directions demonstrate understanding of complex sentences

3738
02:42:00.122 --> 02:42:02.818
and engage in conversation

3739
02:42:02.813 --> 02:42:05.529
using each appropriate vocabulary

3740
02:42:05.572 --> 02:42:08.858
active this will focus on naturalistic teaching

3741
02:42:08.835 --> 02:42:11.072
reinforced learning in context

3742
02:42:11.841 --> 02:42:12.099

3743
02:42:13.392 --> 02:42:13.601

3744
02:42:13.584 --> 02:42:19.860
for the cognitive and self-help skills strategies targeted strategies will involve structured

3745
02:42:19.534 --> 02:42:20.977
for cognitive

3746
02:42:20.753 --> 02:42:22.141
acquisition

3747
02:42:22.354 --> 02:42:25.729
and routines that encourage self-help

3748
02:42:25.753 --> 02:42:29.625
independent so this includes enhancing decision making

3749
02:42:29.591 --> 02:42:32.333
and providing opportunities for

3750
02:42:32.222 --> 02:42:34.762
share tasks with verbal and visual cues

3751
02:42:34.522 --> 02:42:34.796

3752
02:42:36.122 --> 02:42:36.329

3753
02:42:37.342 --> 02:42:41.619
for the socialization developmental development plans

3754
02:42:43.873 --> 02:42:45.324
cooperative

3755
02:42:45.222 --> 02:42:45.442

3756
02:42:45.356 --> 02:42:48.607
to improve the patient's ability to engage with peers

3757
02:42:48.491 --> 02:42:54.590
active this will include turn taking games and group tasks designed to Foster communication and

3758
02:42:54.254 --> 02:42:54.720

3759
02:42:54.712 --> 02:42:55.824
social awareness

3760
02:42:57.713 --> 02:42:58.120

3761
02:42:58.162 --> 02:43:00.681
so this is the um

3762
02:43:00.983 --> 02:43:06.596
the example of the upcoming Optimum activities that will be given to the that was given to the

3763
02:43:06.232 --> 02:43:07.157
the patient

3764
02:43:07.073 --> 02:43:11.545
so we're just waiting for the hopefully during the follow-up check up

3765
02:43:11.623 --> 02:43:13.753
um we will see Improvement

3766
02:43:13.923 --> 02:43:15.862
for the to the patient

3767
02:43:16.423 --> 02:43:19.248
so um thank you for

3768
02:43:19.387 --> 02:43:19.581

3769
02:43:19.633 --> 02:43:25.021
for the committee of the International Symposium on special education

3770
02:43:24.942 --> 02:43:25.608

3771
02:43:25.512 --> 02:43:28.888
for giving us the opportunity to present our paper

3772
02:43:30.020 --> 02:43:33.657
can someone do it University Bangkok Thailand

3773
02:43:35.192 --> 02:43:37.708
and again

3774
02:43:37.952 --> 02:43:41.213

3775
02:43:41.913 --> 02:43:42.200

3776
02:43:42.361 --> 02:43:42.580

3777
02:43:42.681 --> 02:43:42.886

3778
02:43:42.942 --> 02:43:43.214

3779
02:43:43.652 --> 02:43:44.242

3780
02:43:44.231 --> 02:43:45.029

3781
02:43:45.513 --> 02:43:50.349
thank you very much Dr Jennifer and I really appreciate

3782
02:43:51.075 --> 02:43:51.365

3783
02:43:51.392 --> 02:43:51.694

3784
02:43:51.592 --> 02:43:51.818

3785
02:43:51.794 --> 02:43:54.728
hearing me

3786
02:43:54.674 --> 02:43:54.951

3787
02:43:54.923 --> 02:43:55.189

3788
02:43:55.182 --> 02:43:55.521

3789
02:43:55.692 --> 02:43:55.912

3790
02:43:55.882 --> 02:44:01.325
Dr Jennifer thank you so much and I really appreciate you accommodating us

3791
02:44:01.143 --> 02:44:03.960
by switching timings I know you were prepared yet

3792
02:44:03.762 --> 02:44:03.952

3793
02:44:03.893 --> 02:44:04.845
thank you again

3794
02:44:04.854 --> 02:44:07.751
a big round of applause for Dr Jennifer please

3795
02:44:12.543 --> 02:44:12.733

3796
02:44:13.051 --> 02:44:13.243

3797
02:44:13.181 --> 02:44:13.716

3798
02:44:14.143 --> 02:44:16.321
our next presenter

3799
02:44:16.716 --> 02:44:17.813

3800
02:44:18.051 --> 02:44:18.281

3801
02:44:18.312 --> 02:44:23.027
our next presenter is Father Reverend Father Peter

3802
02:44:23.045 --> 02:44:24.412
Bora

3803
02:44:24.325 --> 02:44:28.254
CRI I hope I uh pronounce that correctly

3804
02:44:28.044 --> 02:44:28.489

3805
02:44:28.553 --> 02:44:29.152
father

3806
02:44:29.919 --> 02:44:30.125

3807
02:44:30.093 --> 02:44:30.991

3808
02:44:31.632 --> 02:44:31.841

3809
02:44:32.077 --> 02:44:32.283

3810
02:44:32.331 --> 02:44:33.202

3811
02:44:33.878 --> 02:44:34.216

3812
02:44:34.196 --> 02:44:34.921

3813
02:44:35.352 --> 02:44:35.626

3814
02:44:35.794 --> 02:44:37.799
t

3815
02:44:41.827 --> 02:44:44.802
here

3816
02:44:44.633 --> 02:44:47.356
it has uh

3817
02:44:47.453 --> 02:44:48.637
languages

3818
02:44:48.477 --> 02:44:49.998
that we use

3819
02:44:50.023 --> 02:44:50.278

3820
02:44:50.663 --> 02:44:50.998

3821
02:44:50.982 --> 02:44:51.264

3822
02:44:51.232 --> 02:44:51.454

3823
02:44:51.493 --> 02:44:51.714

3824
02:44:51.623 --> 02:44:54.275
I will you speak in Thai

3825
02:44:54.502 --> 02:44:54.838

3826
02:44:54.952 --> 02:44:55.362

3827
02:44:55.713 --> 02:45:01.907
speaking type because data type audience and we speaking in English and uh but I'll be presenting tomorrow as well so

3828
02:45:01.803 --> 02:45:05.095
place to stay tuned and also we have the sign language interpreter

3829
02:45:05.596 --> 02:45:06.542

3830
02:45:07.195 --> 02:45:08.226

3831
02:45:11.369 --> 02:45:16.834
nothing to so I mean I'm my my team is also bringing the best regard

3832
02:45:19.421 --> 02:45:23.135
Catholic

3833
02:45:23.203 --> 02:45:26.352

3834
02:45:26.794 --> 02:45:27.134

3835
02:45:27.173 --> 02:45:31.798
I'll be talking about my lessons learned from the death Catholic Pastor programming Titan

3836
02:45:32.172 --> 02:45:37.366

3837
02:45:37.994 --> 02:45:41.574
the plowing somber what if

3838
02:45:41.914 --> 02:45:47.561
over 2,000 years ago Jesus healed a death man a death man by his own means and said

3839
02:45:47.424 --> 02:45:49.094
Father which means

3840
02:45:48.951 --> 02:45:49.731
be open

3841
02:45:49.915 --> 02:45:55.150
for

3842
02:45:55.234 --> 02:46:00.694

3843
02:46:00.672 --> 02:46:08.499
according to the Catholic Church teachings affirmed that from the moment of conception human life comprises

3844
02:46:08.302 --> 02:46:11.813
body so and and passing for human dignity

3845
02:46:11.832 --> 02:46:15.093

3846
02:46:15.542 --> 02:46:16.962

3847
02:46:16.883 --> 02:46:18.427
comprehensive

3848
02:46:18.165 --> 02:46:18.405

3849
02:46:18.353 --> 02:46:20.997

3850
02:46:21.241 --> 02:46:21.585

3851
02:46:21.633 --> 02:46:27.121
the the death pastoral ministry under the Catholic bishop Conference of Thailand joins in

3852
02:46:27.653 --> 02:46:29.524
I had an answer the quality of life

3853
02:46:29.716 --> 02:46:33.119
and uh for the death individuals opening minds of hearts and

3854
02:46:32.903 --> 02:46:33.771
standing

3855
02:46:33.671 --> 02:46:38.217

3856
02:46:38.284 --> 02:46:41.408
compressor

3857
02:46:41.553 --> 02:46:41.830

3858
02:46:41.803 --> 02:46:46.778
so they enable the deaf people to understand scripture liturgy and church teachings

3859
02:46:46.672 --> 02:46:50.407
through sign language interpretation and inclusive pastoral approaches

3860
02:46:50.454 --> 02:46:54.107
some kind of

3861
02:46:54.042 --> 02:46:54.238

3862
02:46:54.553 --> 02:46:58.180
so the key important thing is about the the sign language

3863
02:46:58.071 --> 02:47:02.277
for

3864
02:47:02.242 --> 02:47:05.191
to enable test people to understand the teachings

3865
02:47:05.511 --> 02:47:09.556
hey

3866
02:47:09.486 --> 02:47:10.027

3867
02:47:10.123 --> 02:47:11.132
okay next up

3868
02:47:11.662 --> 02:47:11.900

3869
02:47:12.362 --> 02:47:12.773

3870
02:47:13.838 --> 02:47:16.177
answer and this

3871
02:47:16.204 --> 02:47:16.808

3872
02:47:16.854 --> 02:47:17.719

3873
02:47:18.586 --> 02:47:18.792

3874
02:47:19.034 --> 02:47:19.244

3875
02:47:19.355 --> 02:47:24.741
um

3876
02:47:25.055 --> 02:47:29.238
comes on

3877
02:47:29.214 --> 02:47:30.491
drops in some Road

3878
02:47:30.683 --> 02:47:36.098
so the ministry we can in 2008 at Our Lady Fatima Church in the

3879
02:47:35.813 --> 02:47:41.342
bank account in response to the individual seeking access to sacrament of the matrimony and faith

3880
02:47:40.993 --> 02:47:42.915
information in the Thai language

3881
02:47:42.862 --> 02:47:45.703
for

3882
02:47:45.743 --> 02:47:48.130
and we use Ty sign language to train them

3883
02:47:47.912 --> 02:47:49.366

3884
02:47:55.110 --> 02:48:00.431
and after that we use uh we have developed and used more Thai language in the mass on Sundays

3885
02:48:00.792 --> 02:48:02.326
randoms or power

3886
02:48:02.656 --> 02:48:03.262
like I'm

3887
02:48:03.105 --> 02:48:03.292

3888
02:48:03.424 --> 02:48:04.068

3889
02:48:03.992 --> 02:48:05.104

3890
02:48:05.024 --> 02:48:05.363

3891
02:48:05.724 --> 02:48:11.095
said all prayers and hymns led by death members

3892
02:48:11.304 --> 02:48:12.869
and income

3893
02:48:14.193 --> 02:48:19.805
and I saw this study about the other Duty a Bible study catches some classes and I saw

3894
02:48:19.433 --> 02:48:22.641
monthly will be called ecclesial Community gatherings

3895
02:48:22.835 --> 02:48:23.176

3896
02:48:32.210 --> 02:48:37.600
as a result deaf Catholics now take active leadership roles in liturgy collaborating with

3897
02:48:37.633 --> 02:48:40.290
and also in cultural death waves

3898
02:48:40.132 --> 02:48:41.535
um

3899
02:48:42.053 --> 02:48:42.326

3900
02:48:42.182 --> 02:48:42.432

3901
02:48:42.312 --> 02:48:42.583

3902
02:48:42.432 --> 02:48:43.143
blow up

3903
02:48:43.143 --> 02:48:44.800

3904
02:48:44.743 --> 02:48:45.330

3905
02:48:45.254 --> 02:48:45.887

3906
02:48:45.892 --> 02:48:46.125

3907
02:48:46.593 --> 02:48:51.317
even serve as mentors and advisors to younger deaf participants

3908
02:48:51.852 --> 02:48:53.350

3909
02:48:53.326 --> 02:48:53.599

3910
02:48:53.454 --> 02:48:53.943
month

3911
02:48:53.833 --> 02:48:54.317

3912
02:48:54.601 --> 02:48:57.027
for

3913
02:48:56.982 --> 02:48:58.007
the camp in

3914
02:48:57.751 --> 02:48:57.969

3915
02:48:57.944 --> 02:48:58.170

3916
02:48:58.077 --> 02:48:58.411

3917
02:48:58.393 --> 02:48:58.587

3918
02:48:58.644 --> 02:49:04.247
so these efforts to build greater confidence and stronger faith and a culture of mutual uh

3919
02:49:03.901 --> 02:49:07.114
uh in carespan and also exemplary leadership among

3920
02:49:06.913 --> 02:49:07.180

3921
02:49:07.101 --> 02:49:08.589
members

3922
02:49:13.908 --> 02:49:16.321
may I may

3923
02:49:16.263 --> 02:49:21.161
the key learning point is that sign language is essential not optional

3924
02:49:21.264 --> 02:49:25.643
so empowerment replies a real opportunities for uh deaf people to actually

3925
02:49:25.482 --> 02:49:26.191
take action

3926
02:49:26.574 --> 02:49:27.865

3927
02:49:32.865 --> 02:49:37.633
interpreters may serve as the breaches but death voices must lead

3928
02:49:37.532 --> 02:49:37.798

3929
02:49:37.983 --> 02:49:38.893

3930
02:49:42.860 --> 02:49:46.420
and also inclusion must be intentional and committed yeah

3931
02:49:46.953 --> 02:49:47.242

3932
02:49:47.396 --> 02:49:48.877

3933
02:49:53.889 --> 02:49:55.341

3934
02:50:01.569 --> 02:50:06.969
so you can see that the our ongoing challenges include a limited number of closure proficient in

3935
02:50:12.910 --> 02:50:14.796

3936
02:50:14.683 --> 02:50:15.126

3937
02:50:17.515 --> 02:50:20.555
I'm able to train satisi language interpreters

3938
02:50:20.396 --> 02:50:24.894

3939
02:50:25.194 --> 02:50:27.608
also talking about the national coverage as well

3940
02:50:27.633 --> 02:50:27.974

3941
02:50:28.016 --> 02:50:33.338
for

3942
02:50:33.396 --> 02:50:34.874

3943
02:50:34.802 --> 02:50:38.030
and also we need more the funding and institutional supports

3944
02:50:38.134 --> 02:50:38.801

3945
02:50:38.902 --> 02:50:40.250
qu

3946
02:50:43.645 --> 02:50:44.964

3947
02:50:52.117 --> 02:50:57.387
looking at the future so we have to train the closure and also lay leaders in order to understand

3948
02:50:58.634 --> 02:51:00.273
and

3949
02:51:03.635 --> 02:51:09.173
in close to stop it placement of the death accessible pastoral symptoms

3950
02:51:08.885 --> 02:51:10.230
I know

3951
02:51:18.043 --> 02:51:23.446
but outside you mean the physically uh deaf people have access uh have the access to any social

3952
02:51:23.236 --> 02:51:25.099
services but what about in

3953
02:51:24.903 --> 02:51:25.297

3954
02:51:25.222 --> 02:51:25.436

3955
02:51:25.473 --> 02:51:29.026
inside them they don't have access to the internal or faith-based

3956
02:51:28.742 --> 02:51:29.203
service

3957
02:51:29.066 --> 02:51:29.274

3958
02:51:29.515 --> 02:51:29.917

3959
02:51:34.457 --> 02:51:39.748
that's why we try to expand our coverage throughout the country

3960
02:51:40.037 --> 02:51:40.808

3961
02:51:40.856 --> 02:51:41.585

3962
02:51:43.473 --> 02:51:48.032
and also we build a clinical and Global partnership across the across the world

3963
02:51:48.223 --> 02:51:49.054

3964
02:51:57.271 --> 02:52:02.625
so recently I have good news that we have the Catholic Network in uh in mainland China

3965
02:52:02.438 --> 02:52:04.580
as joining our Global Network as well

3966
02:52:04.755 --> 02:52:05.862

3967
02:52:11.097 --> 02:52:16.550
because the uh deaf people in China had no access to this kind of information

3968
02:52:17.043 --> 02:52:18.663
loudest I will start to have to

3969
02:52:18.454 --> 02:52:19.219
Global access

3970
02:52:18.962 --> 02:52:19.258

3971
02:52:19.413 --> 02:52:20.364
information

3972
02:52:20.763 --> 02:52:22.037

3973
02:52:32.892 --> 02:52:38.280
so all this is to lead to the uh uh holistic and inclusiveness so everybody

3974
02:52:41.847 --> 02:52:43.799
and

3975
02:52:50.499 --> 02:52:54.028
good for our personal uh social Community developments

3976
02:52:54.012 --> 02:52:57.512

3977
02:52:57.474 --> 02:53:01.839
in order to enhance the uh deaf people to exercise their full capacity

3978
02:53:02.083 --> 02:53:05.854
your room

3979
02:53:05.863 --> 02:53:10.079
staying together in the society with a dignity and without fears

3980
02:53:10.298 --> 02:53:11.245

3981
02:53:11.432 --> 02:53:14.850
all your

3982
02:53:23.369 --> 02:53:24.760
you

3983
02:53:26.044 --> 02:53:28.921
who are at present here today

3984
02:53:31.483 --> 02:53:34.427
for

3985
02:53:34.376 --> 02:53:39.021
this is not only only about the intellectual exchanges but also it's about the

3986
02:53:38.852 --> 02:53:40.954
mentality and also the

3987
02:53:40.775 --> 02:53:44.726
to call emotion and emotion and a Sentimental exchanges as well

3988
02:53:44.682 --> 02:53:48.533
be happy

3989
02:53:49.482 --> 02:53:51.032
up

3990
02:53:57.498 --> 02:54:00.171

3991
02:54:01.024 --> 02:54:01.300

3992
02:54:01.853 --> 02:54:02.110

3993
02:54:02.495 --> 02:54:02.759

3994
02:54:02.683 --> 02:54:03.029

3995
02:54:03.263 --> 02:54:03.517

3996
02:54:06.203 --> 02:54:07.911
thank you very much

3997
02:54:08.003 --> 02:54:11.761
I was very informative presentation thank you so much

3998
02:54:12.032 --> 02:54:12.281

3999
02:54:13.314 --> 02:54:13.659

4000
02:54:13.632 --> 02:54:14.163

4001
02:54:14.214 --> 02:54:15.006

4002
02:54:15.314 --> 02:54:16.768

4003
02:54:17.233 --> 02:54:17.433

4004
02:54:18.064 --> 02:54:18.324

4005
02:54:18.253 --> 02:54:18.466

4006
02:54:18.576 --> 02:54:19.038

4007
02:54:19.215 --> 02:54:19.682

4008
02:54:19.796 --> 02:54:25.379
before we go to our final uh presentation today

4009
02:54:25.683 --> 02:54:29.687
I wanted to tell you a little bit about our our keynote speaker

4010
02:54:30.309 --> 02:54:33.360
we often hear about importance of inclusion

4011
02:54:33.373 --> 02:54:34.862
what does it truly

4012
02:54:35.297 --> 02:54:38.540
look like in practice how can we move forward

4013
02:54:38.947 --> 02:54:39.179

4014
02:54:39.322 --> 02:54:39.582

4015
02:54:40.117 --> 02:54:40.358

4016
02:54:41.064 --> 02:54:41.282

4017
02:54:41.252 --> 02:54:41.475

4018
02:54:41.573 --> 02:54:41.836

4019
02:54:42.532 --> 02:54:43.208

4020
02:54:43.553 --> 02:54:44.347

4021
02:54:44.714 --> 02:54:45.368

4022
02:54:45.416 --> 02:54:46.399

4023
02:54:46.433 --> 02:54:51.357
how can we create more supportive and inclusive communities that Empower youth

4024
02:54:51.372 --> 02:54:51.591

4025
02:54:51.633 --> 02:54:54.481
and with the disabilities to strive

4026
02:54:54.833 --> 02:54:59.366
to explore the vital question we are honored to welcome Dr Sachin

4027
02:54:59.314 --> 02:55:02.296
so I see president of workability Thailand

4028
02:55:02.584 --> 02:55:06.655
Dr sutin dedication to fostering Community integration

4029
02:55:06.683 --> 02:55:10.401
and creating meaningful opportunities for youth with disabilities

4030
02:55:10.525 --> 02:55:12.399
is truly inspiring

4031
02:55:12.396 --> 02:55:16.923
please join me in welcoming Dr Sachin to present on live transitioning

4032
02:55:16.993 --> 02:55:19.620
process in special education

4033
02:55:23.152 --> 02:55:23.563

4034
02:55:24.173 --> 02:55:24.429

4035
02:55:24.304 --> 02:55:24.521

4036
02:55:24.872 --> 02:55:25.803

4037
02:55:25.902 --> 02:55:28.510

4038
02:55:28.853 --> 02:55:29.436

4039
02:55:29.368 --> 02:55:29.765

4040
02:55:29.817 --> 02:55:31.193
magnetic

4041
02:55:30.967 --> 02:55:32.069

4042
02:55:32.118 --> 02:55:32.675

4043
02:55:32.954 --> 02:55:33.295

4044
02:55:34.425 --> 02:55:34.763

4045
02:55:34.746 --> 02:55:35.994

4046
02:55:36.272 --> 02:55:37.123

4047
02:55:37.054 --> 02:55:38.162

4048
02:55:38.142 --> 02:55:38.394

4049
02:55:38.334 --> 02:55:38.565

4050
02:55:38.522 --> 02:55:38.759

4051
02:55:39.168 --> 02:55:39.381

4052
02:55:39.553 --> 02:55:39.828

4053
02:55:40.068 --> 02:55:40.405

4054
02:55:40.892 --> 02:55:41.171

4055
02:55:41.153 --> 02:55:41.361

4056
02:55:41.665 --> 02:55:42.393

4057
02:55:42.872 --> 02:55:43.078

4058
02:55:43.193 --> 02:55:43.677

4059
02:55:43.642 --> 02:55:44.061

4060
02:55:44.222 --> 02:55:44.825

4061
02:55:45.123 --> 02:55:46.383

4062
02:55:46.405 --> 02:55:46.650

4063
02:55:46.665 --> 02:55:47.901

4064
02:55:47.873 --> 02:55:48.396

4065
02:55:48.325 --> 02:55:51.507

4066
02:55:51.713 --> 02:55:51.949

4067
02:55:52.292 --> 02:55:52.540

4068
02:55:52.553 --> 02:55:52.795

4069
02:55:52.673 --> 02:55:55.002

4070
02:55:54.994 --> 02:55:55.190

4071
02:55:55.243 --> 02:55:56.335

4072
02:55:56.336 --> 02:55:56.617

4073
02:55:57.235 --> 02:55:57.509

4074
02:55:57.803 --> 02:56:01.208
good afternoon everybody

4075
02:56:03.063 --> 02:56:03.774

4076
02:56:04.023 --> 02:56:04.696
um

4077
02:56:05.304 --> 02:56:09.434
uh graduate PhD from here

4078
02:56:09.656 --> 02:56:12.245
and Dr marijuana is my advisor

4079
02:56:13.127 --> 02:56:13.463

4080
02:56:14.073 --> 02:56:17.370
today I would like to

4081
02:56:17.794 --> 02:56:22.381
present about a live transitioning process in special education

4082
02:56:24.643 --> 02:56:25.861

4083
02:56:26.443 --> 02:56:26.697

4084
02:56:27.404 --> 02:56:30.627
I am a chairman of the workability Thailand

4085
02:56:30.863 --> 02:56:31.060

4086
02:56:31.312 --> 02:56:33.941
work ability Thailand is the

4087
02:56:34.255 --> 02:56:34.501

4088
02:56:34.455 --> 02:56:34.675

4089
02:56:34.643 --> 02:56:37.993
a group of people a group of person to help

4090
02:56:38.355 --> 02:56:40.365
person with disability

4091
02:56:40.723 --> 02:56:43.626
to get an employment in Thailand

4092
02:56:45.275 --> 02:56:47.638
and then I'm so

4093
02:56:48.413 --> 02:56:52.476
vice president of sport Association for person with disability

4094
02:56:52.393 --> 02:56:53.281
Thailand

4095
02:56:53.735 --> 02:56:57.756
and president volleyball sport for the discipline of Thailand

4096
02:56:57.637 --> 02:56:59.287
sitting volleyball

4097
02:57:00.014 --> 02:57:04.222
and executive manager of China Farm in globally

4098
02:57:05.262 --> 02:57:05.481

4099
02:57:08.795 --> 02:57:13.171
and this is a professor Dr hiloi Okawa

4100
02:57:13.144 --> 02:57:16.246
a chairman of job coach network in Japan

4101
02:57:16.544 --> 02:57:18.353
he is my teacher

4102
02:57:18.333 --> 02:57:19.433

4103
02:57:19.557 --> 02:57:23.155
got the training program about Job coach

4104
02:57:23.195 --> 02:57:25.707
about transition in Japan

4105
02:57:27.494 --> 02:57:29.320
and he

4106
02:57:29.544 --> 02:57:30.017

4107
02:57:30.115 --> 02:57:34.884
my teacher Dr hogic graduate from America 30 years ago

4108
02:57:35.182 --> 02:57:38.159
about a support a Prime in

4109
02:57:38.383 --> 02:57:41.026
and back to Japan and setting up

4110
02:57:41.076 --> 02:57:43.554
system in Japan and successful

4111
02:57:43.706 --> 02:57:45.447
and he helped Thailand

4112
02:57:46.394 --> 02:57:49.127
he went to Malaysia

4113
02:57:49.083 --> 02:57:50.948
about 10 years ago

4114
02:57:51.004 --> 02:57:53.722
to set up a Job Corps Network in Malaysia

4115
02:57:54.393 --> 02:57:57.260
in China in Mongolia

4116
02:57:57.283 --> 02:57:58.479
in Thailand

4117
02:58:00.032 --> 02:58:00.392

4118
02:58:00.438 --> 02:58:00.891

4119
02:58:00.994 --> 02:58:04.384
a carrier escalation as uh

4120
02:58:04.781 --> 02:58:08.854
I got retired from lovely School

4121
02:58:08.753 --> 02:58:09.031

4122
02:58:09.394 --> 02:58:11.516
special education School

4123
02:58:11.882 --> 02:58:12.101

4124
02:58:12.202 --> 02:58:14.260
so I try to

4125
02:58:14.455 --> 02:58:14.725

4126
02:58:14.833 --> 02:58:20.799
to work hard when they when they get when they graduate from my school how

4127
02:58:21.183 --> 02:58:23.141
to make them get an employment

4128
02:58:23.103 --> 02:58:23.808

4129
02:58:23.744 --> 02:58:25.266
person with this really

4130
02:58:25.852 --> 02:58:29.834
especially for intellectual disability and autism

4131
02:58:30.212 --> 02:58:32.430
when he graduated from my school

4132
02:58:32.962 --> 02:58:35.264
and this is the model

4133
02:58:38.151 --> 02:58:40.819
work in lobby

4134
02:58:40.713 --> 02:58:40.934

4135
02:58:41.033 --> 02:58:41.239

4136
02:58:41.163 --> 02:58:42.582
in the center

4137
02:58:43.083 --> 02:58:46.767
uh special education school we have 4 steps

4138
02:58:47.313 --> 02:58:47.586

4139
02:58:47.446 --> 02:58:49.258
a carrier awareness

4140
02:58:49.682 --> 02:58:52.422
a second step is Carrier expiration

4141
02:58:53.146 --> 02:58:56.937
and it says that with career preparation

4142
02:58:56.795 --> 02:58:59.524
and carry estimation

4143
02:58:59.352 --> 02:58:59.618

4144
02:58:59.551 --> 02:59:02.074
and we have connection with the

4145
02:59:02.245 --> 02:59:05.670
a Medical Institution to help our student

4146
02:59:06.471 --> 02:59:10.472
and we have special education center in Thailand

4147
02:59:10.587 --> 02:59:12.351
for every provinces

4148
02:59:13.646 --> 02:59:16.982
uh vocational college or Vocational School

4149
02:59:17.162 --> 02:59:18.118
to

4150
02:59:18.322 --> 02:59:21.749
uh the place where our student

4151
02:59:21.781 --> 02:59:22.602

4152
02:59:22.671 --> 02:59:22.906

4153
02:59:23.252 --> 02:59:25.544
to work to

4154
02:59:25.622 --> 02:59:28.017
get training from

4155
02:59:27.992 --> 02:59:29.955
vocational College

4156
02:59:30.566 --> 02:59:33.480
and Welfare facilities

4157
02:59:34.200 --> 02:59:37.257
and uh employment office

4158
02:59:38.823 --> 02:59:41.726
and home and parents want

4159
02:59:42.471 --> 02:59:47.026
so they will get a job when they finish my school

4160
02:59:49.772 --> 02:59:53.577
Home Care from family and community

4161
02:59:54.263 --> 02:59:57.076
and Medical Institution services

4162
02:59:58.352 --> 03:00:01.715
early intervention in special education center

4163
03:00:02.521 --> 03:00:08.837
and special education School teaching and learning as follows carry awareness

4164
03:00:08.551 --> 03:00:09.397
do that

4165
03:00:09.383 --> 03:00:10.535

4166
03:00:10.141 --> 03:00:11.506
carry awareness

4167
03:00:11.621 --> 03:00:13.563
carrier expiration

4168
03:00:13.541 --> 03:00:15.630
carrier preparation

4169
03:00:15.720 --> 03:00:18.884
the last is the carrier estimation

4170
03:00:19.501 --> 03:00:20.026

4171
03:00:19.820 --> 03:00:24.519
welfare for Ministry of Social Development and human security

4172
03:00:25.391 --> 03:00:30.005
and uh number 6 is employment support from Ministry of Labor

4173
03:00:30.850 --> 03:00:35.674
and the last 1 Number 7 internship in workplaces around

4174
03:00:35.710 --> 03:00:36.869
my school

4175
03:00:37.753 --> 03:00:38.183

4176
03:00:38.462 --> 03:00:40.767
and today

4177
03:00:43.841 --> 03:00:44.766

4178
03:00:44.553 --> 03:00:45.929
a doubt

4179
03:00:46.401 --> 03:00:50.674
how to make them uh stay with the future life

4180
03:00:50.586 --> 03:00:51.682
happy

4181
03:00:51.985 --> 03:00:55.150
get to work get some job

4182
03:00:56.012 --> 03:00:56.563

4183
03:00:56.336 --> 03:00:56.679

4184
03:00:57.553 --> 03:00:57.914

4185
03:00:59.991 --> 03:01:04.406
sorry it's not clear for H transition model

4186
03:01:05.110 --> 03:01:06.030

4187
03:01:06.141 --> 03:01:06.620

4188
03:01:06.520 --> 03:01:06.862

4189
03:01:07.235 --> 03:01:08.209

4190
03:01:08.191 --> 03:01:13.656
start from high school and and uh generic services

4191
03:01:16.133 --> 03:01:21.053
at a very is not clear so sorry

4192
03:01:21.711 --> 03:01:22.111

4193
03:01:22.355 --> 03:01:27.672
this is a a model that hon said many years ago about how to

4194
03:01:28.110 --> 03:01:29.660
to make

4195
03:01:29.839 --> 03:01:30.185

4196
03:01:30.290 --> 03:01:34.635
them get an employment when they finish school

4197
03:01:35.471 --> 03:01:36.006

4198
03:01:35.789 --> 03:01:36.199

4199
03:01:37.071 --> 03:01:37.431

4200
03:01:39.072 --> 03:01:40.599
okay like

4201
03:01:40.539 --> 03:01:40.894

4202
03:01:42.710 --> 03:01:43.077

4203
03:01:43.671 --> 03:01:44.032

4204
03:01:44.831 --> 03:01:45.246

4205
03:01:46.179 --> 03:01:46.601

4206
03:01:48.356 --> 03:01:48.751

4207
03:01:48.739 --> 03:01:49.147

4208
03:01:49.310 --> 03:01:52.389
uh from the left to right

4209
03:01:52.071 --> 03:01:53.948
Calia awareness

4210
03:01:53.729 --> 03:01:56.011
carrier expiration

4211
03:01:56.360 --> 03:01:58.431
carrier preparation

4212
03:01:58.279 --> 03:02:00.365
and career aspiration

4213
03:02:03.170 --> 03:02:03.511

4214
03:02:03.280 --> 03:02:03.853

4215
03:02:05.330 --> 03:02:10.883
and this is 3 areas of transition emphasis for student with disability

4216
03:02:10.854 --> 03:02:14.336
start from the left post secondary education

4217
03:02:14.622 --> 03:02:18.167
and the center transition usually refer to

4218
03:02:18.070 --> 03:02:21.566
movement from special education in high school

4219
03:02:21.860 --> 03:02:23.039

4220
03:02:22.879 --> 03:02:25.945
and employment to Independent Living

4221
03:02:27.751 --> 03:02:33.347
and how can student be actively involved in determining their

4222
03:02:33.002 --> 03:02:33.924

4223
03:02:34.030 --> 03:02:35.369
from the left

4224
03:02:35.122 --> 03:02:38.096
student elected transition plan

4225
03:02:38.959 --> 03:02:39.383

4226
03:02:39.672 --> 03:02:42.705
and then transition to adulthood

4227
03:02:42.422 --> 03:02:44.260
in the in the

4228
03:02:44.030 --> 03:02:46.889
above parents and family

4229
03:02:47.480 --> 03:02:51.112
uh occupational of physical Therapies

4230
03:02:52.030 --> 03:02:54.887
speech and language therapist

4231
03:02:54.849 --> 03:02:58.321
and under special education teacher

4232
03:02:58.377 --> 03:03:00.794
general of education teacher

4233
03:03:00.492 --> 03:03:03.137
and healthy Medical Specialists

4234
03:03:03.309 --> 03:03:04.823
CTE

4235
03:03:07.079 --> 03:03:08.333

4236
03:03:08.110 --> 03:03:08.478

4237
03:03:09.198 --> 03:03:13.538
a transition or carry education start many years ago

4238
03:03:13.680 --> 03:03:16.968
that's for those individual for 14 years

4239
03:03:16.699 --> 03:03:18.108
our own

4240
03:03:17.910 --> 03:03:20.524
an idea is

4241
03:03:20.220 --> 03:03:22.867
love of the American role

4242
03:03:23.161 --> 03:03:27.549
1997 added a significant

4243
03:03:27.520 --> 03:03:31.984
components to the IEP know as the ITP

4244
03:03:32.128 --> 03:03:34.397
individual transition plan

4245
03:03:34.510 --> 03:03:34.918

4246
03:03:34.760 --> 03:03:38.635
these transition plan address the needs of the student

4247
03:03:39.049 --> 03:03:42.196
is he or she transitions

4248
03:03:42.193 --> 03:03:44.207
into the community

4249
03:03:44.050 --> 03:03:45.764
from the school City

4250
03:03:46.669 --> 03:03:47.004

4251
03:03:47.629 --> 03:03:47.986

4252
03:03:47.893 --> 03:03:48.236

4253
03:03:48.079 --> 03:03:52.969
an idea 2004 state that transition needs

4254
03:03:52.761 --> 03:03:54.994
should be considered

4255
03:03:54.943 --> 03:03:59.911
beginning no later than the first IEP in effect when the child

4256
03:03:59.869 --> 03:04:01.622
16

4257
03:04:02.499 --> 03:04:05.008
that should be updated annually

4258
03:04:05.118 --> 03:04:08.684
this IEP must include number 1

4259
03:04:08.391 --> 03:04:12.345
a list of appropriate measurable

4260
03:04:12.041 --> 03:04:13.924
secondary goals

4261
03:04:13.779 --> 03:04:17.408
that have been developed based upon age

4262
03:04:17.298 --> 03:04:20.778
appropriate transition assessment related to

4263
03:04:20.630 --> 03:04:21.944
training

4264
03:04:22.041 --> 03:04:27.592
education employment and where appropriate Independent Living skills

4265
03:04:30.430 --> 03:04:35.925
number 2 at least after transition services including causes of study

4266
03:04:36.003 --> 03:04:38.620
needed to assist the child

4267
03:04:38.437 --> 03:04:40.090
enraging

4268
03:04:40.113 --> 03:04:44.356
the identify goals and the last 1

4269
03:04:44.268 --> 03:04:48.140
a statement that the child has been informed

4270
03:04:47.860 --> 03:04:49.576
a fit of

4271
03:04:49.331 --> 03:04:52.674
rice transferring 88 of maturity

4272
03:04:53.681 --> 03:04:54.090

4273
03:04:53.938 --> 03:04:54.276

4274
03:04:54.131 --> 03:04:54.478

4275
03:04:54.318 --> 03:04:54.740

4276
03:04:54.589 --> 03:04:57.080
my first impression

4277
03:04:56.830 --> 03:05:02.432
my first impression of my of my work at Liberty School

4278
03:05:02.069 --> 03:05:03.947
intellectual disability

4279
03:05:05.219 --> 03:05:05.540

4280
03:05:05.350 --> 03:05:09.577
become my strong motivation to help person with this really

4281
03:05:09.699 --> 03:05:12.942
the word employment to get employment

4282
03:05:12.780 --> 03:05:14.421
in the community

4283
03:05:14.512 --> 03:05:15.046

4284
03:05:15.081 --> 03:05:18.153
why are they staying home when finished school

4285
03:05:18.989 --> 03:05:22.150
they can work in the community I think

4286
03:05:21.939 --> 03:05:22.331

4287
03:05:22.318 --> 03:05:22.681

4288
03:05:22.579 --> 03:05:22.921

4289
03:05:24.181 --> 03:05:24.517

4290
03:05:24.499 --> 03:05:24.852

4291
03:05:24.817 --> 03:05:30.317
so the detail of transition from school to work or Career Education

4292
03:05:30.388 --> 03:05:31.833
education

4293
03:05:31.351 --> 03:05:31.966

4294
03:05:32.888 --> 03:05:35.800
number 1 1 Step the first step

4295
03:05:36.031 --> 03:05:36.372

4296
03:05:36.157 --> 03:05:37.709
about

4297
03:05:37.568 --> 03:05:40.045
funding to Baho

4298
03:05:40.318 --> 03:05:40.666

4299
03:05:40.848 --> 03:05:41.241

4300
03:05:41.468 --> 03:05:44.101
was not tight

4301
03:05:46.730 --> 03:05:47.770

4302
03:05:47.371 --> 03:05:48.214

4303
03:05:48.007 --> 03:05:49.073

4304
03:05:49.157 --> 03:05:49.518

4305
03:05:49.288 --> 03:05:51.790
Kelly awareness

4306
03:05:51.467 --> 03:05:56.746
begins at the elementary level and is intended to make student aware

4307
03:05:56.979 --> 03:05:59.339
of the existence of

4308
03:05:59.668 --> 03:06:01.562
paid or unpaid

4309
03:06:01.400 --> 03:06:01.750

4310
03:06:01.530 --> 03:06:03.935
get money or not get money

4311
03:06:03.900 --> 03:06:04.237

4312
03:06:04.154 --> 03:06:08.592
and workers and how students will fit into the work oriented

4313
03:06:08.638 --> 03:06:10.722
Society in the future

4314
03:06:11.343 --> 03:06:15.907
carry awareness aspect of human development is occurring during

4315
03:06:15.869 --> 03:06:17.116
yes

4316
03:06:17.229 --> 03:06:19.630
compounding to PO

4317
03:06:19.659 --> 03:06:20.010

4318
03:06:20.039 --> 03:06:20.457

4319
03:06:20.228 --> 03:06:21.107

4320
03:06:21.271 --> 03:06:26.587
and the Second Step the second step is to carry expiration

4321
03:06:26.188 --> 03:06:29.153
how to explore how to find a job

4322
03:06:31.000 --> 03:06:32.663
wish they like

4323
03:06:32.469 --> 03:06:33.013

4324
03:06:32.850 --> 03:06:37.117
Kelly expiration the second stage emphasized

4325
03:06:36.952 --> 03:06:39.265
at the middle school

4326
03:06:39.321 --> 03:06:40.874
Midland School

4327
03:06:41.135 --> 03:06:41.480

4328
03:06:41.377 --> 03:06:43.497
morning

4329
03:06:44.003 --> 03:06:44.475

4330
03:06:44.388 --> 03:06:44.739

4331
03:06:44.903 --> 03:06:50.305
junior high level is intended to help students explore their interests

4332
03:06:50.469 --> 03:06:52.356
in abilities

4333
03:06:52.138 --> 03:06:55.113
in relation to Lifestyle

4334
03:06:55.270 --> 03:06:56.902
a few patients

4335
03:06:56.999 --> 03:07:00.302
students should learn and examine

4336
03:07:00.151 --> 03:07:03.409
their own unique abilities and needs

4337
03:07:03.728 --> 03:07:07.086
be expert to many hands on experience

4338
03:07:07.322 --> 03:07:09.953
and be given the opportunity

4339
03:07:09.948 --> 03:07:13.988
to engage in several Community Based experiences

4340
03:07:16.157 --> 03:07:19.727
and the third step in the

4341
03:07:19.939 --> 03:07:22.304
me

4342
03:07:22.188 --> 03:07:24.299
High School

4343
03:07:29.797 --> 03:07:32.393
is a period for carrier

4344
03:07:31.989 --> 03:07:33.640
decision making

4345
03:07:34.027 --> 03:07:36.508
and skills acquisition

4346
03:07:36.272 --> 03:07:39.336
student should be able to identify

4347
03:07:39.027 --> 03:07:41.104
as a specific interest

4348
03:07:41.409 --> 03:07:44.773
and aptitudes and the type of Lifestyle

4349
03:07:44.860 --> 03:07:47.869
that we meet this characteristic

4350
03:07:49.147 --> 03:07:49.502

4351
03:07:49.597 --> 03:07:51.583
the last step

4352
03:07:51.458 --> 03:07:56.425
can you ask him region is the transition of the students into post

4353
03:07:56.391 --> 03:07:58.544
secondary training

4354
03:07:58.378 --> 03:08:02.738
in community living and working adjustment environments

4355
03:08:02.859 --> 03:08:03.278

4356
03:08:03.189 --> 03:08:07.870
the student should be able to engage in satisfying vocational

4357
03:08:08.240 --> 03:08:12.249
family and Civic volunteer work activities

4358
03:08:12.348 --> 03:08:15.067
as well at gain paid employment

4359
03:08:15.290 --> 03:08:20.708
many student we need continuing education and follow up services at this time

4360
03:08:21.524 --> 03:08:21.868

4361
03:08:21.758 --> 03:08:22.231

4362
03:08:23.167 --> 03:08:26.194
this is uh a transition

4363
03:08:26.369 --> 03:08:29.097
unit a transition chop

4364
03:08:28.997 --> 03:08:31.400
for Loop

4365
03:08:31.191 --> 03:08:33.253
you say de

4366
03:08:33.228 --> 03:08:34.566

4367
03:08:34.309 --> 03:08:36.303
so here in the price

4368
03:08:35.993 --> 03:08:38.052
chop

4369
03:08:38.866 --> 03:08:41.552
and the second 1 is far far

4370
03:08:41.428 --> 03:08:41.769

4371
03:08:41.547 --> 03:08:43.540
which I worked there

4372
03:08:47.389 --> 03:08:48.881
to work there

4373
03:08:48.596 --> 03:08:50.364
to practice

4374
03:08:52.203 --> 03:08:56.659
uh this is the photo of panda transition unit

4375
03:08:56.417 --> 03:08:59.516
transitions internship in Japan which I visited

4376
03:08:59.747 --> 03:09:02.112
and this is the

4377
03:09:05.637 --> 03:09:09.138
there is no transitions in there so the school

4378
03:09:08.978 --> 03:09:11.885
should be a transition Center themselves

4379
03:09:12.629 --> 03:09:15.274
before the student

4380
03:09:14.987 --> 03:09:17.153
graduate from their school

4381
03:09:18.460 --> 03:09:18.931

4382
03:09:18.836 --> 03:09:19.322

4383
03:09:19.161 --> 03:09:19.528

4384
03:09:20.628 --> 03:09:20.970

4385
03:09:21.159 --> 03:09:21.503

4386
03:09:21.466 --> 03:09:27.341
working for the ladies model I was in charge of probably for intellect

4387
03:09:26.787 --> 03:09:27.946
on disability

4388
03:09:27.618 --> 03:09:28.987
so I make

4389
03:09:28.710 --> 03:09:31.680
a reading is a Readiness model

4390
03:09:31.713 --> 03:09:34.060
to make them ready

4391
03:09:33.828 --> 03:09:35.457
to get to work

4392
03:09:35.747 --> 03:09:36.113

4393
03:09:35.946 --> 03:09:39.851
the nasc training system after 2 years of training

4394
03:09:39.659 --> 03:09:41.829
some student got a job

4395
03:09:41.968 --> 03:09:45.076
but many were impossible to find a job

4396
03:09:45.168 --> 03:09:48.434
how far to adjust themselves to real work

4397
03:09:48.430 --> 03:09:50.598
places at the employment

4398
03:09:51.843 --> 03:09:52.228

4399
03:09:53.687 --> 03:09:54.028

4400
03:09:54.836 --> 03:10:00.387
the first step of supported employment in Thailand the first practice of supported employment

4401
03:10:00.736 --> 03:10:01.853
young men

4402
03:10:01.886 --> 03:10:05.020
with intellectual disability in order

4403
03:10:04.897 --> 03:10:08.451
was successfully employed in MKS

4404
03:10:08.108 --> 03:10:09.163
restaurant

4405
03:10:09.449 --> 03:10:11.700
for

4406
03:10:13.157 --> 03:10:13.492

4407
03:10:13.417 --> 03:10:14.082

4408
03:10:14.317 --> 03:10:17.808
the origin of job coach this is the second part

4409
03:10:19.187 --> 03:10:24.563
supported employment was institutional right in the US in 1986

4410
03:10:24.248 --> 03:10:26.275
by The Rehabilitation Act

4411
03:10:26.036 --> 03:10:28.689
amended of 1986

4412
03:10:29.307 --> 03:10:29.726

4413
03:10:30.066 --> 03:10:35.330
a definition of supported employment okay you can read this from a paper

4414
03:10:35.199 --> 03:10:36.506
in your hand

4415
03:10:38.656 --> 03:10:39.595

4416
03:10:39.368 --> 03:10:39.719

4417
03:10:39.879 --> 03:10:40.328

4418
03:10:40.456 --> 03:10:44.584
important terms in the definition of supported employment

4419
03:10:44.487 --> 03:10:47.627
the first thing is started people

4420
03:10:47.949 --> 03:10:52.006
individual with the most significant disabilities

4421
03:10:52.750 --> 03:10:56.824
a second 1 is code competitive employment

4422
03:10:57.050 --> 03:10:57.410

4423
03:10:57.236 --> 03:10:59.758
integrated work setting

4424
03:11:00.117 --> 03:11:02.746
and the last 1 so we

4425
03:11:03.068 --> 03:11:08.043
intensive initial support So visit and also extended services

4426
03:11:09.470 --> 03:11:10.011

4427
03:11:10.307 --> 03:11:15.910
supported in supported employment transformed the focus of vocation

4428
03:11:15.500 --> 03:11:16.339

4429
03:11:16.200 --> 03:11:17.834
Rehabilitation

4430
03:11:18.627 --> 03:11:19.233

4431
03:11:19.206 --> 03:11:25.025
added the first the left in the left assessment and training before employment

4432
03:11:24.977 --> 03:11:26.899
we call share the workshop

4433
03:11:28.507 --> 03:11:29.632

4434
03:11:29.526 --> 03:11:32.247
in the right 1 training

4435
03:11:32.148 --> 03:11:36.243
and continuous support as real works

4436
03:11:35.926 --> 03:11:38.240
we say competitive work

4437
03:11:40.157 --> 03:11:40.767

4438
03:11:40.547 --> 03:11:43.657
traditional vocational rehabilitation

4439
03:11:44.002 --> 03:11:45.878
assessment

4440
03:11:45.869 --> 03:11:47.486
training

4441
03:11:47.469 --> 03:11:49.354
and job placement

4442
03:11:49.577 --> 03:11:50.946
leave them

4443
03:11:51.177 --> 03:11:51.527

4444
03:11:51.821 --> 03:11:53.383
best

4445
03:11:53.297 --> 03:11:55.539
traditional vocational

4446
03:11:55.787 --> 03:11:57.627
Rehabilitation

4447
03:11:58.606 --> 03:11:58.945

4448
03:12:00.338 --> 03:12:00.873

4449
03:12:00.788 --> 03:12:01.123

4450
03:12:01.762 --> 03:12:06.707
a problem in traditional Vocational Rehabilitation strategies

4451
03:12:07.321 --> 03:12:07.671

4452
03:12:08.345 --> 03:12:10.469
the difficulties

4453
03:12:10.271 --> 03:12:12.217
in applying

4454
03:12:12.388 --> 03:12:15.838
work tasks work environments

4455
03:12:15.838 --> 03:12:17.314
pressure

4456
03:12:17.121 --> 03:12:18.818
co-workers

4457
03:12:18.596 --> 03:12:21.918
to many factors and different between them

4458
03:12:21.607 --> 03:12:23.093
that's the problem

4459
03:12:22.946 --> 03:12:24.696
that's the difficulty

4460
03:12:26.476 --> 03:12:26.840

4461
03:12:26.737 --> 03:12:27.581

4462
03:12:27.376 --> 03:12:31.487
from preparation before employment to support after

4463
03:12:31.146 --> 03:12:32.442
employment

4464
03:12:32.626 --> 03:12:35.090
working support by job coaches

4465
03:12:35.318 --> 03:12:36.985
assessment

4466
03:12:36.596 --> 03:12:37.045

4467
03:12:36.726 --> 03:12:41.846
training job placement and assistant for retention

4468
03:12:43.070 --> 03:12:43.472

4469
03:12:44.347 --> 03:12:44.940

4470
03:12:44.926 --> 03:12:46.796
a case study

4471
03:12:49.597 --> 03:12:52.455
is 27 years old

4472
03:12:52.167 --> 03:12:56.460
moderate intellectual disability you know this and audism

4473
03:12:56.389 --> 03:12:56.734

4474
03:12:56.645 --> 03:12:59.371
long years in shelter Workshop

4475
03:12:59.790 --> 03:13:00.139

4476
03:13:00.107 --> 03:13:04.315
the expect expect to work in ordinary companies

4477
03:13:04.397 --> 03:13:07.240
not in childhood condition

4478
03:13:10.868 --> 03:13:11.411

4479
03:13:11.523 --> 03:13:16.683
and uh the loan of job coach like a bridge

4480
03:13:17.276 --> 03:13:17.639

4481
03:13:18.046 --> 03:13:19.811
from

4482
03:13:19.516 --> 03:13:23.543
person with disability and employer co-worker

4483
03:13:23.308 --> 03:13:25.292
job Crossing in the center

4484
03:13:26.378 --> 03:13:27.846
like a bridge

4485
03:13:28.296 --> 03:13:28.973

4486
03:13:28.942 --> 03:13:32.374
how can we work as a bridge between

4487
03:13:32.077 --> 03:13:34.031
person with disability

4488
03:13:33.746 --> 03:13:35.334
and then produce

4489
03:13:38.027 --> 03:13:43.398
this is the photo that's the Box the box as a work

4490
03:13:43.988 --> 03:13:48.041
and football like a person with disability

4491
03:13:48.666 --> 03:13:51.138
how to make them get to the Box

4492
03:13:51.360 --> 03:13:53.721
to make them get a job

4493
03:13:55.461 --> 03:13:56.165

4494
03:13:56.035 --> 03:13:59.115
so job coach is like this man

4495
03:14:00.197 --> 03:14:00.606

4496
03:14:00.386 --> 03:14:06.065
to produce good work environment job coaches should work closely with

4497
03:14:07.886 --> 03:14:09.648
and what do they do

4498
03:14:10.577 --> 03:14:16.234
they want they have they have to know job duties for person with disability

4499
03:14:16.466 --> 03:14:18.027
how to work

4500
03:14:18.011 --> 03:14:19.840
requirement

4501
03:14:19.665 --> 03:14:23.037
physical environments of work site

4502
03:14:23.008 --> 03:14:25.714
co-workers understanding for

4503
03:14:25.380 --> 03:14:26.667

4504
03:14:27.037 --> 03:14:28.633
disabilities

4505
03:14:28.836 --> 03:14:32.597
interpersonal relationships with co-workers

4506
03:14:32.937 --> 03:14:36.787
and work hours and work accelerations

4507
03:14:36.905 --> 03:14:38.609
this job

4508
03:14:38.447 --> 03:14:39.784
help them

4509
03:14:40.106 --> 03:14:40.498

4510
03:14:41.660 --> 03:14:42.196

4511
03:14:42.479 --> 03:14:46.972
and the the home house is the job code how to

4512
03:14:47.097 --> 03:14:49.739
help person with disability

4513
03:14:49.466 --> 03:14:52.326
how to support person with disability

4514
03:14:52.536 --> 03:14:53.053

4515
03:14:52.986 --> 03:14:56.937
the pink 1 is uh the yellow 1

4516
03:14:57.148 --> 03:14:57.490

4517
03:14:57.349 --> 03:15:00.849
before employment for the first 4 step

4518
03:15:01.054 --> 03:15:01.403

4519
03:15:01.186 --> 03:15:04.059
and the Penguin is have to get a job

4520
03:15:04.906 --> 03:15:08.290
the first step in assessment the person with disability

4521
03:15:08.428 --> 03:15:09.759
then

4522
03:15:09.781 --> 03:15:13.577
finding a workplaces and then

4523
03:15:13.428 --> 03:15:16.301
assessment of workplace environment

4524
03:15:16.948 --> 03:15:18.685
and job matching

4525
03:15:18.678 --> 03:15:21.072
a good job matching

4526
03:15:21.049 --> 03:15:22.539
to make them

4527
03:15:22.967 --> 03:15:25.474
uh get a real job

4528
03:15:25.467 --> 03:15:25.821

4529
03:15:25.586 --> 03:15:29.148
and number 5 intensive support at the workplace

4530
03:15:29.827 --> 03:15:33.253
coordination and employment agreement

4531
03:15:33.405 --> 03:15:36.820
support support fading

4532
03:15:36.486 --> 03:15:37.754
fading

4533
03:15:38.150 --> 03:15:40.676
and follow up for the last step

4534
03:15:42.332 --> 03:15:44.476
uh

4535
03:15:49.225 --> 03:15:53.456
type A type B and this job coach

4536
03:15:54.301 --> 03:15:55.453
okay

4537
03:15:56.535 --> 03:15:56.934

4538
03:15:57.949 --> 03:15:58.596

4539
03:15:58.517 --> 03:16:02.298
uh what type A

4540
03:16:05.698 --> 03:16:08.177
that job cost to help

4541
03:16:08.906 --> 03:16:12.560
person with disability in other organization

4542
03:16:13.575 --> 03:16:16.106
NB and type B

4543
03:16:15.826 --> 03:16:17.757
is a job

4544
03:16:17.547 --> 03:16:19.109
in the company

4545
03:16:19.727 --> 03:16:22.248
Job Court in the company

4546
03:16:25.370 --> 03:16:28.922
Municipal like Alberta Alberta

4547
03:16:29.527 --> 03:16:31.507
sorry for speaking

4548
03:16:34.353 --> 03:16:34.748

4549
03:16:34.587 --> 03:16:35.050

4550
03:16:35.226 --> 03:16:35.571

4551
03:16:35.805 --> 03:16:36.147

4552
03:16:36.505 --> 03:16:36.920

4553
03:16:39.137 --> 03:16:39.477

4554
03:16:39.786 --> 03:16:40.836

4555
03:16:40.745 --> 03:16:41.382

4556
03:16:41.125 --> 03:16:41.531

4557
03:16:41.719 --> 03:16:42.499

4558
03:16:42.856 --> 03:16:45.236
uh

4559
03:16:45.288 --> 03:16:45.707

4560
03:16:45.669 --> 03:16:48.057
about Job coach in Thailand

4561
03:16:48.237 --> 03:16:48.713

4562
03:16:48.495 --> 03:16:50.667
work ability Thailand

4563
03:16:50.419 --> 03:16:50.828

4564
03:16:50.606 --> 03:16:54.551
uh and uh Department of skill development

4565
03:16:55.856 --> 03:16:57.988
for

4566
03:16:58.296 --> 03:17:02.842
Ministry of Labour set up 5 days program curriculum

4567
03:17:02.645 --> 03:17:06.064
UK and give training program to

4568
03:17:06.369 --> 03:17:09.280
teachers in special education School

4569
03:17:09.756 --> 03:17:10.117

4570
03:17:10.017 --> 03:17:14.801
stop up Association of Association for the mentally

4571
03:17:14.506 --> 03:17:15.415

4572
03:17:15.341 --> 03:17:16.660
Thailand

4573
03:17:17.189 --> 03:17:17.545

4574
03:17:17.317 --> 03:17:20.574
stop up Bangkok Metropolitan

4575
03:17:21.358 --> 03:17:22.914
I give them

4576
03:17:22.767 --> 03:17:25.872
a program a training program about a job coach

4577
03:17:25.646 --> 03:17:25.988

4578
03:17:25.837 --> 03:17:30.754
and the next step for work ability Thailand

4579
03:17:30.708 --> 03:17:31.721

4580
03:17:31.666 --> 03:17:33.943
for H

4581
03:17:33.714 --> 03:17:36.695
is for the person in the companies

4582
03:17:37.565 --> 03:17:41.161
the job course for the company so they can help

4583
03:17:40.896 --> 03:17:43.160
person with disability in the company

4584
03:17:43.967 --> 03:17:45.579
this is

4585
03:17:45.314 --> 03:17:46.747
job code

4586
03:17:46.538 --> 03:17:49.146
situation in Thailand

4587
03:17:49.866 --> 03:17:50.282

4588
03:17:50.057 --> 03:17:50.454

4589
03:17:50.626 --> 03:17:53.716
thank you for your attention

4590
03:17:56.909 --> 03:17:57.413

4591
03:17:57.166 --> 03:17:57.580

4592
03:17:58.126 --> 03:17:59.372

4593
03:17:59.088 --> 03:18:01.147

4594
03:18:00.946 --> 03:18:01.422

4595
03:18:01.194 --> 03:18:01.603

4596
03:18:02.178 --> 03:18:03.030

4597
03:18:02.936 --> 03:18:06.492
thank you very much Dr suchin uh

4598
03:18:05.945 --> 03:18:08.278
Dr maliwan would you please

4599
03:18:08.627 --> 03:18:13.243
give a gift to Dr Sachin Dr Sachin can you come to the Center thank you very much

4600
03:18:13.887 --> 03:18:14.373

4601
03:18:14.145 --> 03:18:15.432

4602
03:18:19.266 --> 03:18:20.321

4603
03:18:20.110 --> 03:18:20.449

4604
03:18:20.615 --> 03:18:21.730

4605
03:18:21.637 --> 03:18:22.092

4606
03:18:21.958 --> 03:18:22.363

4607
03:18:22.536 --> 03:18:22.940

4608
03:18:22.786 --> 03:18:23.149

4609
03:18:23.046 --> 03:18:23.892

4610
03:18:23.627 --> 03:18:24.025

4611
03:18:23.877 --> 03:18:24.343

4612
03:18:24.195 --> 03:18:24.538

4613
03:18:24.388 --> 03:18:25.505

4614
03:18:25.286 --> 03:18:25.822

4615
03:18:26.117 --> 03:18:27.676

4616
03:18:27.786 --> 03:18:28.451

4617
03:18:28.309 --> 03:18:28.659

4618
03:18:28.557 --> 03:18:29.021

4619
03:18:28.815 --> 03:18:29.604

4620
03:18:29.387 --> 03:18:31.885

4621
03:18:31.887 --> 03:18:36.556

4622
03:18:36.564 --> 03:18:37.423

4623
03:18:37.396 --> 03:18:40.426

4624
03:18:40.145 --> 03:18:40.630

4625
03:18:40.408 --> 03:18:40.816

4626
03:18:40.665 --> 03:18:42.656

4627
03:18:42.328 --> 03:18:43.069

4628
03:18:42.845 --> 03:18:44.638

4629
03:18:45.346 --> 03:18:48.438

4630
03:18:48.285 --> 03:18:53.698
okay so we have reached the end of our first day

4631
03:18:53.797 --> 03:18:57.351
thank you so much everyone

4632
03:18:57.186 --> 03:19:01.582
especially at deaf Community here you stayed right from the morning

4633
03:19:01.357 --> 03:19:04.081
till the last thank you so very much

4634
03:19:05.329 --> 03:19:05.664

4635
03:19:05.585 --> 03:19:07.974
yeah so um

4636
03:19:08.408 --> 03:19:12.088
I take this opportunity to say thank you to everyone

4637
03:19:11.877 --> 03:19:17.325
for today everybody did such a good job right from the beginning till the end

4638
03:19:17.379 --> 03:19:21.672
so let's say goodbye and see you tomorrow

4639
03:19:21.535 --> 03:19:23.481
okay our um

4640
03:19:23.386 --> 03:19:23.735

4641
03:19:23.647 --> 03:19:27.229
foreign delegates will meet at the lobby at 5:30

4642
03:19:27.497 --> 03:19:28.224

4643
03:19:28.007 --> 03:19:31.914
okay everyone thank you bye bye see you tomorrow

4644
03:19:31.786 --> 03:19:32.919

4645
03:19:32.747 --> 03:19:33.107

4646
03:19:32.878 --> 03:19:33.478

4647
03:19:33.330 --> 03:19:33.923

4648
03:19:33.705 --> 03:19:34.627

4649
03:19:34.547 --> 03:19:35.201

4650
03:19:35.755 --> 03:19:36.099

4651
03:19:35.885 --> 03:19:36.304

4652
03:19:36.147 --> 03:19:36.671

4653
03:19:36.715 --> 03:19:41.867

4654
03:19:41.585 --> 03:19:43.086

4655
03:19:47.228 --> 03:19:51.114
at home

4656
03:19:51.066 --> 03:19:52.051
on

4657
03:20:04.600 --> 03:20:07.694

4658
03:20:22.413 --> 03:20:27.950

4659
03:20:27.706 --> 03:20:33.171

4660
03:20:33.097 --> 03:20:38.564

4661
03:20:38.418 --> 03:20:38.772

4662
03:20:38.549 --> 03:20:44.083

4663
03:20:43.786 --> 03:20:49.343

4664
03:20:49.048 --> 03:20:54.455

4665
03:20:54.368 --> 03:20:55.113

4666
03:20:54.819 --> 03:21:00.263

4667
03:20:59.997 --> 03:21:05.464

4668
03:21:05.256 --> 03:21:10.863

4669
03:21:10.575 --> 03:21:16.035

4670
03:21:16.527 --> 03:21:21.994

4671
03:21:21.845 --> 03:21:27.324

4672
03:21:27.486 --> 03:21:32.952

4673
03:21:32.737 --> 03:21:38.297

4674
03:21:38.187 --> 03:21:43.740

4675
03:21:43.506 --> 03:21:43.846

4676
03:21:43.625 --> 03:21:49.072

4677
03:21:48.946 --> 03:21:54.408

4678
03:21:54.137 --> 03:21:59.657

4679
03:21:59.445 --> 03:22:04.914

4680
03:22:04.639 --> 03:22:10.169

4681
03:22:10.090 --> 03:22:15.557

4682
03:22:15.268 --> 03:22:18.188